GUILLERMO FRAGA (MD) – Internal Medicine Physician, NPI 1104809433

GUILLERMO FRAGA (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 7867 (NV). The NPI Number for GUILLERMO FRAGA (MD) is 1104809433

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
GUILLERMO FRAGA (MD)
NPI
1104809433
Phone
(702) 724-8777
Address
PO BOX 35380
Enumeration Date
21 November 2005
Last Update Date
25 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024762287
Graduation Year
1986 (40 years ago)
PAC ID
0547224271
Group Practice PAC ID
3476955345
Professional Enrollment ID
I20041112000901
Address ID
NV891469047LA1321XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,575 INTERNAL MEDICINE in NV

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Provider Addresses for GUILLERMO FRAGA (MD)

  • McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States

    LAS VEGAS, NV 891335380

    Phone: (702) 724-8777

    Fax: (702) 724-8749

    Type: Mailing

  • West Horizon Ridge Parkway, Henderson, Clark County, Nevada, 89012, United States

    SUITE 105

    HENDERSON, NV 89052

    Phone: (702) 724-8777

    Fax: (702) 724-8749

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $1,542.

Total Amount is formed as General ($1,542) + Research ($0) + Ownership ($0) = $1,542.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($761).

Total Amount

$1,542

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,542

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041112000901IInternal MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes254160$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit178178$0
99213Established patient office or other outpatient visit, 20-29 minutes15197$0
99204New patient office or other outpatient visit, 45-59 minutes9494$0
99203New patient office or other outpatient visit, 30-44 minutes5959$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476955345View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Family PracticeNV
Internal MedicineNV
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantNV

Reviews

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Frequently asked questions

What is GUILLERMO FRAGA (MD)'s NPI number?
GUILLERMO FRAGA (MD)'s NPI is 1104809433 — the number used across U.S. healthcare to identify this provider.
Is there an active status for GUILLERMO FRAGA (MD)?
For scheduling context, GUILLERMO FRAGA (MD) is shown as active in the registry.
What expertise is attributed to GUILLERMO FRAGA (MD)?
GUILLERMO FRAGA (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GUILLERMO FRAGA (MD) associated with Las Vegas?
Public fields place GUILLERMO FRAGA (MD) around Las Vegas, Nevada. Always confirm the exact site before visiting.
Does GUILLERMO FRAGA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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