Individual provider Active NPI

Katie Ann Marrero, MD

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1114580321
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
28406 Issued in NV
Practice address
6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone
(702) 835-9700
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 28406 NV Primary
Surgery Physician 208600000X MD484744 PA

Addresses

Primary practice location

6900 N Durango Dr
Las Vegas, NV 89149-4409

Mailing address

5380 S Rainbow Blvd Ste 320
Las Vegas, NV 89118-1880

Other practice location 1

657 N Town Center Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7000

Other practice location 2

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000

Other practice location 3

155 Raiders Way
henderson, NV 89052
Phone (725) 235-2000

Other practice location 4

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240819000068 PA Practitioner - General Surgery 9133455934
I20251217004527 NV Practitioner - General Surgery 9133455934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Vegas Medical Group LLCGroup PAC ID 6800118522, 51 clinicians

Practice addresses (Care Compare)

6850 N Durango Dr
Suite 208
Las Vegas, NV 89149-4596
Phone (702) 835-9870

Hospital & facility affiliations

  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28406NVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Medical Group LLC Multi-Specialty CurrentSince Dec 15, 2025 Accepting new patients

Locations

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

825 N Gibson Rd
Ste 201
Henderson, NV 89011
Phone (702) 492-1162

5380 S Rainbow Blvd
Ste 320
Las Vegas, NV 89118
Phone (702) 784-0070

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

6850 N Durango Dr
Ste 208
Las Vegas, NV 89149
Phone (702) 835-9870

330 S Lola Ln
Ste 200
Pahrump, NV 89048
Phone (775) 751-7100

Interoperability endpoints

  • Direct secure messaging: kmarreromd281020@carlehiedirect.net

Organizations & group practices 1

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 7

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1114580321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494409",
            "telephone_number": "702-835-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "657 N Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446367",
            "country_code": "US",
            "telephone_number": "702-233-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181859",
            "country_code": "US",
            "telephone_number": "702-853-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Raiders Way",
            "address_purpose": "LOCATION",
            "city": "henderson",
            "state": "NV",
            "postal_code": "89052",
            "country_code": "US",
            "telephone_number": "725-235-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Galleria Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890114800",
            "country_code": "US",
            "telephone_number": "702-963-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NV",
            "license": "28406",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD484744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.