NPIMap

Individual provider Active NPI

Bernard T Bartolome, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1811958341
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6780 Issued in NV
Practice address
4180 S Rainbow Blvd
Ste 809
Las Vegas, NV 89103-3135
Phone
(702) 256-3637
Fax
(702) 633-4341
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 6780 NV Primary

Addresses

Primary practice location

4180 S Rainbow Blvd
Ste 809
Las Vegas, NV 89103-3135

Mailing address

PO Box 80985
Las Vegas, NV 89180-0985
Phone (702) 256-3637

Other identifiers 1

IdentifierTypeStateIssuer
002019373MedicaidNV

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
I20050927000963 NV Practitioner - Internal Medicine 1850326083 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2670 S Jones Blvd
Suite 1
Las Vegas, NV 89146-5341

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard T Bartolome MD LTD Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients
Marquis Companies II, Inc Past Accepting new patients
The Heights of Summerlin, LLC Past Accepting new patients
El Jen SNF Operations LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Acts Hospice Care IncLas Vegas, NV, CCN 291734 Hospice Contracted Managing Employee Aug 17, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 4

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1811958341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80985",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891800985",
            "telephone_number": "702-256-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 S RAINBOW BLVD",
            "address_2": "STE 809",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033135",
            "telephone_number": "702-256-3637",
            "fax_number": "702-633-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOME",
        "first_name": "BERNARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019373",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.