Individual provider Active NPI

Tiffany Therese Fonte, D.O.

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1255779443
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DO2567 Issued in NV
Practice address
9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700
Phone
(702) 805-5678
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SL0957 NV
Cardiovascular Disease Physician 207RC0000X PG177527 OR
Cardiovascular Disease Physician 207RC0000X DO2567 NV Primary

Addresses

Primary practice location

9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700

Mailing address

9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700
Phone (702) 805-5678

Other practice location 1

825 N Gibson Rd Ste 321
Henderson, NV 89011-1708
Phone (702) 805-5678

Other practice location 2

2855 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4812
Phone (702) 805-5678

Other practice location 3

10105 Banburry Cross Dr
Las Vegas, NV 89144-6646
Phone (702) 805-5678

Other practice location 4

9950 W Cheyenne Ave Ste 150
Las Vegas, NV 89129-7700
Phone (702) 805-5678

Other practice location 5

6040 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5613
Phone (705) 805-5678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200310002550 NV Practitioner - Osteopathic Manipulative Medicine 8921395039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Cardiology GroupGroup PAC ID 5890123046, 15 clinicians

Practice addresses (Care Compare)

2911 N Tenaya Way
Suite 104
Las Vegas, NV 89128-0488
Phone (702) 805-5678

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score
79.39 of 100Reported as group
Quality
55.26
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SL0957NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Cardiology Group PLLC Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients
Plon Spaccavento & Associates, LTD CurrentSince Jan 26, 2020 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Henderson Hospital Past Accepting new patients

Locations

2855 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 805-5678

108 E Lake Mead Pkwy
Ste 302
Henderson, NV 89015
Phone (702) 566-4278

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

9950 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129

4275 Burnham Ave
Ste 220
Las Vegas, NV 89119
Phone (702) 369-0088

2911 N Tenaya Way
Ste 104
Las Vegas, NV 89128
Phone (702) 474-2460

7305 S Pecos Rd
Ste 102
Las Vegas, NV 89120
Phone (702) 425-5000

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

6040 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 475-4007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 4

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1255779443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297700",
            "telephone_number": "702-805-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297700",
            "telephone_number": "702-805-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Gibson Rd Ste 321",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890111708",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2855 Saint Rose Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524812",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10105 Banburry Cross Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446646",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 W Cheyenne Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297700",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485613",
            "country_code": "US",
            "telephone_number": "705-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTE",
        "first_name": "TIFFANY",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "SL0957",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "PG177527",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "DO2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.