JEFFREY JUDE TORDILLA (MD) – Anesthesiology Physician, NPI 1407058050

JEFFREY JUDE TORDILLA (MD) is a healthcare provider. based in Henderson, Nevada. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 12344 (NV). The NPI Number for JEFFREY JUDE TORDILLA (MD) is 1407058050

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY JUDE TORDILLA (MD)
NPI
1407058050
Phone
(702) 487-6880
Address
10120 S EASTERN AVE
Enumeration Date
5 June 2007
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024875823
Graduation Year
2004 (22 years ago)
PAC ID
7517050487
Group Practice PAC ID
6901173509
Professional Enrollment ID
I20070908000076
Address ID
NV891204406LA6402XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

555 ANESTHESIOLOGY in NV

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Provider Addresses for JEFFREY JUDE TORDILLA (MD)

  • 10120, South Eastern Avenue, Henderson, Clark County, Nevada, 89052, United States

    #200

    HENDERSON, NV 89052

    Phone: (702) 487-6880

    Fax: (702) 473-5455

    Type: Mailing

  • JEFFREY TORDILLA MD

    PO BOX 93358

    LAS VEGAS, NV 891933358

    Phone: (702) 487-6510

    Fax: (702) 405-7960

    Type: Mailing

  • ALPINE ANESTHESIA

    6402 MCLEOD DR SUTE 2

    LAS VEGAS, NV 89120

    Phone: (702) 487-6510

    Fax: (702) 405-7960

    Type: Location

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: 2022-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070908000076IAnesthesiologyNVTBD
I20220810000364IAnesthesiologyFLTBD

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
00103Anesthesia for procedure on eyelid1515$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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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: 6901173509View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YGU
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)UT
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YID

Reviews

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Frequently asked questions

How do I look up JEFFREY JUDE TORDILLA (MD) by NPI?
Use NPI 1407058050 when you need to reference JEFFREY JUDE TORDILLA (MD) in forms, claims, or directories.
Is JEFFREY JUDE TORDILLA (MD)'s NPI currently valid?
The extract we use shows JEFFREY JUDE TORDILLA (MD) as active.
What kind of provider is JEFFREY JUDE TORDILLA (MD)?
The page reflects Anesthesiology Physician for JEFFREY JUDE TORDILLA (MD). Clinical services aligned with this taxonomy classification.
Where is JEFFREY JUDE TORDILLA (MD)'s primary listing?
We display Henderson, Nevada because that is what the record indicates for JEFFREY JUDE TORDILLA (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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