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NICOLAS MAALOUF
NPI 1710619895
Internal Medicine in Las Vegas, NV

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-8436 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 30, 2025, Jan 8, 2025 (2 updates tracked since 2025).

About Nicolas Maalouf NPPES

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

NICOLAS MAALOUF (NPI 1710619895) is an individual internal medicine provider in Las Vegas, Nevada, licensed in California (20A23770) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710619895
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICOLAS MAALOUF
Location Address620 SHADOW LNLas Vegas, NV 89106-4119
Mailing Address501 S Buena Vista StBurbank, CA 91505-4809
Phone(702) 388-8436
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 28, 2022
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1710619895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A23770
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 ListedGeneral PracticeTaxonomy 208D00000X · License SL1892 (NV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License SL1892
620 SHADOW LN, Las Vegas, NV 89106
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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

Nicolas Maalouf 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 ID3971983602
PECOS Enrollment IDI20250806001168
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

3

Medicare enrollment records show Nicolas Maalouf reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nicolas Maalouf Do Medical Corp
226 mi
Internal Medicine
520 S BUENA VISTA ST
Burbank, CA 91505
  • Reassigned Medicare billing, California enrollment
NPI 1356223895 (818) 843-5111
St. Joseph Hospitalist Medical Group, Inc.
226 mi
Internal Medicine
501 S BUENA VISTA ST
Burbank, CA 91505
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
NPI 1396166971 (310) 321-0143
Michael Sheinin Do Inc
232 mi
Internal Medicine
8700 BEVERLY BLVD
West Hollywood, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1154084879 (310) 423-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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.

JANN STACEY PICKENS NP
Nurse Practitioner
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4506
DR. VICTOR HOANG D.O.
Orthopaedic Surgery
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. KAY E MCMILLAN DO
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4500
DR. FELIX ALEXIE DO
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
ALEX HIRSCHFELD GOLDBACH MD
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 477-6572
NASIBO KADIR MD PLLC
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
DR. JOHN YOUNG KO DO
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
MIRKO OMID MOSTAGHIMI DO
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000

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 Nicolas Maalouf's NPI number?

The NPI number for Nicolas Maalouf is 1710619895. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Nicolas Maalouf located?

Nicolas Maalouf practices at 620 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 388-8436.

What is Nicolas Maalouf's specialty?

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

Is Nicolas Maalouf enrolled in Medicare?

Yes. Nicolas Maalouf 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 Nicolas Maalouf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Maalouf reassigns Medicare benefits to 3 organizations: Nicolas Maalouf Do Medical Corp (Burbank, CA), St. Joseph Hospitalist Medical Group, Inc. (Burbank, CA) and Michael Sheinin Do Inc (West Hollywood, CA). 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 Nicolas Maalouf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicolas Maalouf was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.