DR. NICHOLAS XAVIER JEBAILY MD
NPI 1710206909
Internal Medicine in Phoenix, AZ

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
4444 N 32ND ST STE 175, PHOENIX, AZ 85018(602) 952-0002(602) 224-9119 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017 (2 updates tracked since 2017).

About Dr. Nicholas Xavier Jebaily Md NPPES

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

DR. NICHOLAS XAVIER JEBAILY MD (NPI 1710206909) is an individual internal medicine provider in Phoenix, Arizona, licensed in North Carolina (2013-01215) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Medical University Of South Carolina College Of Medicine (2010).

NPPES Registry Identity

NPI1710206909
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICHOLAS XAVIER JEBAILYCredential: MD
Location Address4444 N 32ND ST STE 175Phoenix, AZ 85018-3999
Mailing Address4444 N 32nd St Ste 175Phoenix, AZ 85018-3999 · (602) 952-0002 · Fax (602) 224-9119
Fax(602) 224-9119
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2010
Enumeration DateMay 27, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1710206909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2013-01215
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 49154 (AZ)
4444 N 32ND ST STE 175, Phoenix, AZ 85018

Other Identifiers 2

MedicaidQ0121SSC
Medicaid1710206909NC

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 and accepts Medicare assignment

Dr. Nicholas Xavier Jebaily Md 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 ID5799919015
PECOS Enrollment IDI20200406000949
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 32

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 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.
871 services641 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
645 services549 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
466 services58 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
313 services297 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
286 services281 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
268 services258 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85018 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 2

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

Nurse Practitioner (Adult Health)
4444 N 32ND ST STE 175
PHOENIX, AZ 85018
Internal Medicine (Cardiovascular Disease)
4444 N 32ND ST STE 175
PHOENIX, AZ 85018

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 Nicholas Jebaily's NPI number?

The NPI number for Nicholas Jebaily is 1710206909. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Nicholas Jebaily located?

Nicholas Jebaily practices at 4444 N 32nd St Ste 175, Phoenix, AZ 85018. The listed phone number is (602) 952-0002.

What is Nicholas Jebaily's specialty?

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

Is Nicholas Jebaily enrolled in Medicare?

Yes. Nicholas Jebaily 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.

What insurance does Nicholas Jebaily accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Nicholas Jebaily 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.

Is Nicholas Jebaily affiliated with any hospitals?

According to CMS data, Nicholas Jebaily is affiliated with Mcleod Regional Medical Center-Pee Dee and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Jebaily was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.