DR. EDESON GO DAMASCO TY MD
NPI 1497799258
Internal Medicine in Las Vegas, NV

Q: What is Edeson Damasco Ty's NPI number?

The NPI number for Edeson Damasco Ty is 1497799258. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Edeson Damasco Ty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edeson Damasco Ty was last updated on November 1, 2022. 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.

Active since June 15, 2006PECOS Enrolled

6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113(702) 952-9171(702) 952-9170 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2022, Feb 6, 2017 (2 updates tracked since 2017).

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About Dr. Edeson Go Damasco Ty Md NPPES

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

DR. EDESON GO DAMASCO TY MD (NPI 1497799258) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (11704) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1497799258

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. EDESON GO DAMASCO TYCredential: MD

Location Address6355 S BUFFALO DR FL 3Las Vegas, NV 89113-2133

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883

Phone(702) 952-9171

Fax(702) 952-9170

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration

NPPES CertifiedNovember 1, 2022

✔ NPI 1497799258 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 · 11704

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.

6355 S BUFFALO DR FL 3, Las Vegas, NV 89113

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Secondary Practice Location 1

Location 11000 S Rainbow Blvd, Suite ALas Vegas, NV 89145-6231 · Phone (702) 464-8866 · Fax (702) 671-6851

Other Identifiers 1

Medicaid1497799258NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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)

Dr. Edeson Go Damasco Ty Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 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.

Other Providers at the Same Location NPPES 20

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

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