TADESSE KEBEDE DEBELE (MD, MS) – Family Medicine Physician, NPI 1164999660
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TADESSE KEBEDE DEBELE (MD, MS)
540, North Nellis Boulevard, Sunrise Manor, Las Vegas, Clark County, Nevada, 89110, United States
LAS VEGAS, NV 891105368
Phone: (702) 877-5199
Fax: (702) 431-0265
Type: Location
2202 N Stockton Hill Rd Ste 101
Kingman, AZ 864014622
Phone: (702) 877-5199
Fax: (702) 431-0265
Type: Location
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone:
Type: Mailing
4900 W CRAIG RD
LAS VEGAS, NV 891302737
Phone: (252) 693-3687
Fax: (725) 293-5350
Type: Location
McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States
LAS VEGAS, NV 891335380
Phone: (702) 877-5199
Type: Mailing
2202 N STOCKTON HILL RD STE 101
KINGMAN, AZ 864014622
Phone: (928) 681-8701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241002002263 | I | Family Practice | NV | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Internal Medicine | NV | |
| Physician Assistant | NV | |
| - | KY | |
| Nurse Practitioner | NV | |
| - | NV | |
| Nurse Practitioner | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Nurse Practitioner | IL | |
| - | NV |
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