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DR. DAVID SIMI NIUMATALOLO M.D.
NPI 1598298267
Physical Medicine & Rehabilitation - Pain Medicine in Las Vegas, NV

Active since April 09, 2017PECOS EnrolledAccepts Medicare Assignment
4750 W OAKEY BLVD STE 3A, LAS VEGAS, NV 89102(702) 954-7626 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 4, 2026, Mar 26, 2026, Sep 1, 2022 (3 updates tracked since 2022).

About Dr. David Simi Niumatalolo M.d. NPPES

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

DR. DAVID SIMI NIUMATALOLO M.D. (NPI 1598298267) is an individual pain medicine provider in Las Vegas, Nevada, licensed in Utah (14272871-1205) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2017).

NPPES Registry Identity

NPI1598298267
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. DAVID SIMI NIUMATALOLOCredential: M.D.
Location Address4750 W OAKEY BLVD STE 3ALas Vegas, NV 89102-1535
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(702) 954-7626
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2017
Enumeration DateApril 9, 2017
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1598298267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses✔ Licensed in UT · 14272871-1205✔ Licensed in NV · 22511
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
4750 W OAKEY BLVD STE 3A, Las Vegas, NV 89102
Open in Google Maps ↗

Secondary Practice Location 1

Location 1395 W Cougar Blvd Ste 803Provo, UT 84604-3311 · Phone (801) 235-7246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Simi Niumatalolo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416203732
PECOS Enrollment IDI20220831004061, I20260429000421
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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Niumatalolo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Medical Group II Rhodes P C
4.6 mi
Internal Medicine
2704 N TENAYA WAY
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 608 clinicians in this Medicare group
NPI 1790329407 (702) 877-5199
Ihc Health Services Inc
108 mi
Psychiatry
292 S 1470 E
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1457496531 (435) 251-5900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

NEIL A BRAUNSTEIN MD
Internal Medicine (Rheumatology)
4750 W OAKEY BLVD STE 3A
LAS VEGAS, NV 89102
Clark County (702) 877-5199
BARRY GOULD M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4750 W OAKEY BLVD STE 3A
LAS VEGAS, NV 89102
Clark County (702) 877-5199
KATHY J RABAGO P.A.
Physician Assistant
4750 W OAKEY BLVD STE 3A
LAS VEGAS, NV 89102
Clark County (702) 251-3670
VANESSA MEDINA ANTOLIN APRN
Nurse Practitioner
4750 W OAKEY BLVD STE 3A
LAS VEGAS, NV 89102
Clark County (702) 877-5199
KELLY ROBERTS PA-C
Physician Assistant
4750 W OAKEY BLVD STE 3A
LAS VEGAS, NV 89102
Clark County (702) 877-5199
DR. JAVIER ISMAEL GARDUNO M.D.
Anesthesiology (Pain Medicine)
4750 W OAKEY BLVD STE 3A
LAS VEGAS, NV 89102
Clark County (702) 877-5319
HAE RAN RHIM-KIM MD
Internal Medicine (Rheumatology)
4750 W OAKEY BLVD STE 3A
LAS VEGAS, NV 89102
Clark County (702) 877-5199

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 David Niumatalolo's NPI number?

The NPI number for David Niumatalolo is 1598298267. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Where is David Niumatalolo located?

David Niumatalolo practices at 4750 W Oakey Blvd Ste 3A, Las Vegas, NV 89102. The listed phone number is (702) 954-7626.

What is David Niumatalolo's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is David Niumatalolo enrolled in Medicare?

Yes. David Niumatalolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Niumatalolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Niumatalolo reassigns Medicare benefits to 2 organizations: Optum Medical Group II Rhodes P C (Las Vegas, NV) and Ihc Health Services Inc (St George, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Niumatalolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Niumatalolo accept?

Health plans from Select Health list David Niumatalolo 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 David Niumatalolo was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.