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WITOLD IGLIKOWSKI MD PROF CORP
NPI 1730553504
Internal Medicine in Las Vegas, NV

Active since November 17, 2015
3753 HOWARD HUGHES PKWY # 200-216, LAS VEGAS, NV 89169(702) 544-0179 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2019, Sep 13, 2019, Nov 17, 2015 (3 updates tracked since 2015).

About Witold Iglikowski Md Prof Corp NPPES

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

WITOLD IGLIKOWSKI MD PROF CORP (NPI 1730553504) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since November 2015. The organization maintains a secondary practice location in Henderson and lists Witold Iglikowski, President, as its authorized official.

NPPES Registry Identity

NPI1730553504
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWITOLD IGLIKOWSKI MD PROF CORP
Location Address3753 HOWARD HUGHES PKWY # 200-216Las Vegas, NV 89169-0938
Mailing Address217 Chestnut Ridge CirHenderson, NV 89012-2162 · (702) 630-0895 · Fax (702) 459-0864
Phone(702) 544-0179
Organization SubpartNo
Authorized OfficialWitold IglikowskiPresident · (702) 268-3079
Enumeration DateNovember 17, 2015
Last NPPES UpdateSeptember 30, 20193 updates tracked since enumeration
✔ NPI 1730553504 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 · NV20141070263
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.
3753 HOWARD HUGHES PKWY # 200-216, Las Vegas, NV 89169
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Secondary Practice Location 1

Location 12900 W Horizon Ridge Pkwy Ste 101Henderson, NV 89052-5014 · Phone (702) 630-0895 · Fax (702) 459-0864

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Witold Iglikowski Md Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNevadaEnrollment IDO20160129001910Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Witold Iglikowski MD Prof Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Witold Iglikowski, M.D.
Internal Medicine
NPI 1164412680
2900 W HORIZON RIDGE PKWY STE 101
Henderson, NV 89052
(702) 275-7277
✔ PECOS✔ Accepts Medicare8.7 mi

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

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 Witold Iglikowski MD Prof Corp's NPI number?

The NPI number for Witold Iglikowski MD Prof Corp is 1730553504. It was assigned to this organization in the NPPES registry on November 17, 2015.

Where is Witold Iglikowski MD Prof Corp located?

Witold Iglikowski MD Prof Corp is located at 3753 Howard Hughes Pkwy # 200-216, Las Vegas, NV 89169. The listed phone number is (702) 544-0179.

What is Witold Iglikowski MD Prof Corp's specialty?

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

Is Witold Iglikowski MD Prof Corp enrolled in Medicare?

Yes. Witold Iglikowski MD Prof Corp is registered in the Medicare PECOS enrollment system.

When is Witold Iglikowski MD Prof Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Witold Iglikowski MD Prof Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Witold Iglikowski MD Prof Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Witold Iglikowski MD Prof Corp was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.