CAMILO BERNAL TABORA JR. M.D.
NPI 1265543458
Internal Medicine in Las Vegas, NV

Active since August 31, 2006PECOS Enrolled
3301 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 968-0100(702) 968-0104 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camilo Bernal Tabora Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILO BERNAL TABORA JR. M.D. (NPI 1265543458) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (9691) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265543458
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCAMILO BERNAL TABORA JR.Credential: M.D.
Location Address3301 W CHARLESTON BLVDLas Vegas, NV 89102-1835
Mailing Address3301 W Charleston BlvdLas Vegas, NV 89102-1835 · (702) 968-0100 · Fax (702) 968-0104
Fax(702) 968-0104
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
NPI 1265543458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NV · 9691
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3301 W CHARLESTON BLVD, Las Vegas, NV 89102

Other Identifiers 1

Medicaid2018735NV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Camilo Bernal Tabora Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
166 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services58 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
77 services77 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
71 services71 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers23 claims57 services$5.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims25 services$1.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$14.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$59.42 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.44 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Internal Medicine
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clinic/Center (Primary Care)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Registered Nurse (Administrator)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Nurse Practitioner (Pediatrics)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Nurse Practitioner (Primary Care)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Technician (Personal Care Attendant)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Pediatrics
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camilo Tabora's NPI number?

The NPI number for Camilo Tabora is 1265543458. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Camilo Tabora located?

Camilo Tabora practices at 3301 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 968-0100.

What is Camilo Tabora's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Camilo Tabora enrolled in Medicare?

Yes. Camilo Tabora is registered in the Medicare PECOS enrollment system.

What insurance does Camilo Tabora accept?

Health plans from Ambetter from Arizona Complete Health list Camilo Tabora as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Camilo Tabora was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.