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DR. YUDI WIBISONO DO
NPI 1740711134
Preventive Medicine - Occupational Medicine in North Las Vegas, NV

Active since March 27, 2017PECOS Enrolled
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086(702) 791-9000 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Aug 17, 2021, Oct 9, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Yudi Wibisono Do NPPES

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

DR. YUDI WIBISONO DO (NPI 1740711134) is an individual occupational medicine provider in North Las Vegas, Nevada, licensed in Washington (OP61182777) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740711134
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameDR. YUDI WIBISONOCredential: DO
Location Address6900 N PECOS RDNorth Las Vegas, NV 89086-4400
Mailing Address6900 N Pecos RdNorth Las Vegas, NV 89086-4400 · (702) 791-9000
Phone(702) 791-9000
Sole ProprietorNo
Enumeration DateMarch 27, 2017
Last NPPES UpdateOctober 13, 20225 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1740711134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Licenses✔ Licensed in WA · OP61182777✔ Licensed in UT · 10964114-1204
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Also ListedInternal MedicineTaxonomy 207R00000X · License MRO-1647 (ID)
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License MRO-1647 (ID)
6900 N PECOS RD, North Las Vegas, NV 89086
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Secondary Practice Locations 2

Location 1391 S Chipeta Way Ste CSalt Lake City, UT 84108-1294 · Phone (801) 581-7224
Location 21400 Pottery AvePort Orchard, WA 98366-3711 · Phone (360) 895-5000 · Fax (360) 895-5060

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. Yudi Wibisono Do 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 89086 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.

DR. JAMES HSIANG WANG MD
Radiology (Vascular & Interventional Radiology)
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
ERICA LOSOYA-WOOD LCSW
Social Worker (Clinical)
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
MORGAN MARIANO PHARMD
Pharmacist
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
NATALYA SOUZA LCSW
Social Worker (Clinical)
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
RY RALPH REYES DO
Psychiatry & Neurology (Psychiatry)
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
GRACE SEONG EUN IM OMD
Acupuncturist
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9024
SAMANTHA ZANCA RD, CSO, LD
Dietitian, Registered
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
JENNY CASIELLO PHARMD
Pharmacist
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000

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 Yudi Wibisono's NPI number?

The NPI number for Yudi Wibisono is 1740711134. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Yudi Wibisono located?

Yudi Wibisono practices at 6900 N Pecos Rd, North Las Vegas, NV 89086. The listed phone number is (702) 791-9000.

What is Yudi Wibisono's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Yudi Wibisono enrolled in Medicare?

Yes. Yudi Wibisono is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yudi Wibisono was last updated on October 13, 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.