Individual provider Active NPI

Steven Dean Peine, M.D.

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1508858192
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
17074 Issued in NV
Practice address
6460 Medical Center St., Suite 350
Las Vegas, NV 89148-8637
Phone
(702) 255-6647
Fax
(702) 933-1444
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9723 NV
Dermatology Physician 207N00000X 9723 NV
Dermatology Physician 207N00000X 17074 NV Primary

Addresses

Primary practice location

6460 Medical Center St., Suite 350
Las Vegas, NV 89148-8637

Mailing address

6460 Medical Center St., Suite 350
Las Vegas, NV 89148-8637
Phone (702) 255-6647

Other identifiers 1

IdentifierTypeStateIssuer
1508858192MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, 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
I20160513002066 UT Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5799906392 Reassigns benefits to 1 organization
I20170720000309 NV Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5799906392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Utah School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fife Dermatology UtahGroup PAC ID 0042573438, 3 clinicians

Practice addresses (Care Compare)

1490 E Foremaster Dr
Suite 150
St George, UT 84790-4495
Phone (435) 673-5373

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision132
Removal of tissue1-10
Removal of skin lesions960
Removal of skin cancer1266
Skin biopsy268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17074NVMDDermatology Physician
9723NVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fife Dermatology, P.C. CurrentSince Jul 15, 2017 Accepting new patients
April Larson MD, PC Dermatology PastSince Jun 1, 2016 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

6460 Medical Center St
Ste 230
Las Vegas, NV 89148

6460 Medical Center St
Ste 350
Las Vegas, NV 89148
Phone (702) 255-6647

2110 E Flamingo Rd
Ste 213
Las Vegas, NV 89119
Phone (702) 255-6647

6460 Medical Center St
Ste 200
Las Vegas, NV 89148
Phone (702) 255-6647

1490 E Foremaster Dr
Ste 260
St George, UT 84790
Phone (435) 523-3378

1490 E Foremaster Dr
Ste 150
St George, UT 84790
Phone (435) 673-5373

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1508858192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST., SUITE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891488637",
            "telephone_number": "702-255-6647",
            "fax_number": "702-933-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST., SUITE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891488637",
            "telephone_number": "702-255-6647",
            "fax_number": "702-933-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEINE",
        "first_name": "STEVEN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9723",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "9723",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "17074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508858192",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.