JESSIE M. PICENO MD – NPI #1578602579
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

JESSIE PICENO is a physician located in LAS VEGAS, NV. NPPES has assigned the NPI number 1578602579 to JESSIE PICENO on February 06, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 6 years ago on Jul 08, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSIE PICENO below.

NPI Profile for
JESSIE M. PICENO

NPI Number
1578602579
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JESSIE M. PICENO
Credentials
MD
Primary location
2820 W CHARLESTON BLVD STE 33
LAS VEGAS, NV 89102-1934
Phone: (702) 880-1558 Fax:
2 Other location(s):
600 Whitney Ranch Dr
Unit B11
Henderson, NV 89014-2611
Phone: (702) 818-9246
Fax: (702) 492-1728
3121 S Maryland Pkwy Ste 412
Las Vegas, NV 89109-2309
Phone: (702) 997-4250
Fax: (702) 492-1728
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JESSIE PICENO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ630186
MEDICAIDNV1578602579
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 NV 14024

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JESSIE PICENO is affiliated with the following medical group(s):
  • HOSPITAL
    • CENTENNIAL HILLS HOSPITAL MEDICAL CENTER
      6900 N DURANGO DR
      LAS VEGAS, NV 89149
    • DESERT SPRINGS HOSPITAL
      2075 EAST FLAMINGO ROAD
      LAS VEGAS, NV 89119
    • SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS
      8280 W WARM SPRINGS ROAD
      LAS VEGAS, NV 89113
    • SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS
      3001 ST ROSE PARKWAY
      HENDERSON, NV 89052
    • SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER
      9300 WEST SUNSET RD
      LAS VEGAS, NV 89148
  • DIALYSIS FACILITY
    • DAVITA ANTHEM VILLAGE DIALYSIS
      2530 ANTHEM VILLAGE DR
      HENDERSON, NV 89052
    • DAVITA LAKE MEAD DIALYSIS
      713 E Lake Mead Blvd
      NORTH LAS VEGAS, NV 89030
    • DAVITA SPRING VALLEY DIALYSIS
      3855 S JONES BLVD
      LAS VEGAS, NV 89103
  • INPATIENT REHABILITATION FACILITY
    • ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDER
      10301 JEFFREYS ST
      HENDERSON, NV 89052

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