NPIMap

Individual provider Active NPI

Witold J Iglikowski, M.D.

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1164412680
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9748 Issued in NV
Practice address
2900 W Horizon Ridge Pkwy Ste 101
Henderson, NV 89052-5014
Phone
(702) 275-7277
Fax
(702) 623-4963
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9748 NV Primary

Addresses

Primary practice location

2900 W Horizon Ridge Pkwy Ste 101
Henderson, NV 89052-5014

Mailing address

2900 W Horizon Ridge Pkwy Ste 101
Henderson, NV 89052-5014
Phone (702) 271-3191

Other identifiers 1

IdentifierTypeStateIssuer
002019288MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000369 NV Practitioner - Internal Medicine 1951580760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2900 W Horizon RDG
Suite 121
Henderson, NV 89052-5014

2900 W Horizon Ridge
Suite 121
Henderson, NV 89052-5014
Phone (702) 544-0179

2900 W Horizon Ridge Pkwy
Suite 101
Henderson, NV 89052-5014
Phone (702) 630-0895

Hospital & facility affiliations

  • Absolute Home Health, LLC Home health agency, Henderson, NV, CCN 297365
  • Dependable Home Health of Nevada LLC Home health agency, Las Vegas, NV, CCN 297264
  • Comfort Care Hospice Inc Hospice, Las Vegas, NV, CCN 291596
  • Precious Hearts Health Care Providers LLC Hospice, Las Vegas, NV, CCN 291666
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

Merit-based Incentive Payment System (MIPS)

Final score
14.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
49.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Quality Nursing LLC Past Accepting new patients
David J. Oliveri, M.D., PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wiglikowski18633@direct.umcsn.com
  • Direct secure messaging: w.iglikowski@wimp-nv.direct.office.nextgen.com
  • Direct secure messaging: driglikowski@pthl-nv.direct.office.nextgen.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1164412680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W HORIZON RIDGE PKWY STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525014",
            "telephone_number": "702-271-3191",
            "fax_number": "702-623-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W HORIZON RIDGE PKWY STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525014",
            "telephone_number": "702-275-7277",
            "fax_number": "702-623-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLIKOWSKI",
        "first_name": "WITOLD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019288",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.