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NICHOLAS TIBALDI M.D.
NPI 1760478564
Internal Medicine - Gastroenterology in Las Vegas, NV

Active since September 27, 2005PECOS Enrolled
2316 W CHARLESTON BLVD, SUITE 280, LAS VEGAS, NV 89102(702) 877-8330(702) 877-8312 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas Tibaldi M.d. NPPES

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

NICHOLAS TIBALDI M.D. (NPI 1760478564) is an individual gastroenterology provider in Las Vegas, Nevada, licensed in Nevada (11661) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760478564
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNICHOLAS TIBALDICredential: M.D.
Location Address2316 W CHARLESTON BLVD, SUITE 280Las Vegas, NV 89102-2149
Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 877-8330 · Fax (702) 877-8312
Phone(702) 877-8330
Fax(702) 877-8312
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateFebruary 14, 2014
✔ NPI 1760478564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NV · 11661✔ Licensed in WV · 19721✔ Licensed in OH · 35065820
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2316 W CHARLESTON BLVD, Las Vegas, NV 89102
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Other Identifiers 8

Medicaid6000016000WV
Medicare ID-Type Unspecified0783066OH
Medicaid0151302OH
Medicaid1760478564NV
Medicare ID-Type Unspecified0783064WV
Medicare PINCF733YNV
Medicare UPING03990WV
Medicare PIN101758NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Tibaldi M.d. 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.

Medicare Billing Reassignments

2

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

Southwest Medical Associates, Inc
0.1 mi
Internal Medicine
888 S RANCHO DR
Las Vegas, NV 89106
  • Reassigned Medicare billing, Nevada enrollment
  • 406 clinicians in this Medicare group
NPI 1659346005 (702) 877-8600
Optum Medical Group II Rhodes P C
5.5 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

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 89102 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 7

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

TIMOTHY RAYMOND PHARM.D.
Pharmacist
2316 W CHARLESTON BLVD, STE. 174
LAS VEGAS, NV 89102
Clark County (702) 877-8605
DR. RYAN W TINGLE DPM
Podiatrist (Foot & Ankle Surgery)
2316 W CHARLESTON BLVD, SUITE 120
LAS VEGAS, NV 89102
Clark County (702) 877-8625
MICHAEL CHILDS DPM
Podiatrist
2316 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 877-8600
JULIE LYNN SWANSON MD
Family Medicine
2316 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 877-8600
KORTNEY MORTIMER PA
Physician Assistant
2316 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 877-8330
DR. JAMEY E STEPHENS DNP, FNP-C
Nurse Practitioner (Family)
2316 W CHARLESTON BLVD, SUITE 259
LAS VEGAS, NV 89102
Clark County (702) 370-8436
DR. CHAORUI TIAN M.D., PH.D.
Internal Medicine (Gastroenterology)
2316 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 877-8330

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 Tibaldi's NPI number?

The NPI number for Nicholas Tibaldi is 1760478564. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Nicholas Tibaldi located?

Nicholas Tibaldi practices at 2316 W Charleston Blvd Suite 280, Las Vegas, NV 89102. The listed phone number is (702) 877-8330.

What is Nicholas Tibaldi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nicholas Tibaldi enrolled in Medicare?

Yes. Nicholas Tibaldi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Tibaldi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Tibaldi reassigns Medicare benefits to 2 organizations: Southwest Medical Associates, Inc (Las Vegas, NV) and Optum Medical Group II Rhodes P C (Las Vegas, NV). 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 Nicholas Tibaldi'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 Nicholas Tibaldi was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.