Individual provider Active NPI

Stephen Brent Horsley, M.D. , F.A.C.S.

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1497894315
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12245 Issued in NV
Practice address
9280W Sunset Rd 242
Las Vegas, NV 89148-4861
Phone
(702) 796-0022
Fax
(702) 796-0038
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 242418 NY
Surgery Physician 208600000X 71758 AZ
Surgery Physician 208600000X 12245 NV Primary

Addresses

Primary practice location

9280W Sunset Rd 242
Las Vegas, NV 89148-4861

Mailing address

10300 W Charleston Blvd
13 180
Las Vegas, NV 89135-1037
Phone (702) 796-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000810 NV Practitioner - General Surgery 2668566241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin Rayls, M.D.,Professional CorporationGroup PAC ID 3678514833, 2 clinicians

Practice addresses (Care Compare)

9280 W Sunset Rd
Suite 242
Las Vegas, NV 89148-4861
Phone (702) 796-0022

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71758AZMDSurgery Physician
12245NVMDSurgery Physician
242418NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Organizations & group practices 4

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 2

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1497894315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD",
            "address_2": "13 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351037",
            "telephone_number": "702-796-0022",
            "fax_number": "702-796-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280W SUNSET RD 242",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484861",
            "telephone_number": "702-796-0022",
            "fax_number": "702-796-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "STEPHEN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D. , F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "242418",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "71758",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "12245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.