NPIMap

Organization Active NPI

Institute of Orthopaedic Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1689652638
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
3303ASC-7 Issued in NV
Legal business name
INSTITUTE OF ORTHOPAEDIC SURGERY LLC
Practice address
2800 E Desert Inn Rd
Suite 150
Las Vegas, NV 89121-3608
Phone
(702) 735-7355
Fax
(702) 735-7966
NPI assigned
Jan 9, 2006
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Mr. Michael Pendleton
Title
Administrator
Phone
(702) 731-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 3303ASC-7 NV Primary

Addresses

Primary practice location

2800 E Desert Inn Rd
Suite 150
Las Vegas, NV 89121-3608

Mailing address

PO Box 92212
Las Vegas, NV 89193-2212
Phone (702) 735-7355

Other identifiers 2

IdentifierTypeStateIssuer
004602200MedicaidNV
V38027OtherMEDICARE ID - TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120607000492 NV Part B Supplier - Ambulatory Surgical Center 1052397122 Practice locations: Las Vegas, NV
O20221201001404 NV Part B Supplier - Ambulatory Surgical Center 1052397122 Practice locations: Las Vegas, NV

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Institute of Orthopaedic Surgery LLCCCN 29C0001050
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0998402Institute of Orthopaedic Surgery LLC2800 E Desert Inn Rd Ste 150, Las Vegas, NV 89121Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

8205 W Warm Springs Rd
Ste 130
Las Vegas, NV 89113
Phone (702) 227-2152

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1689652638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891932212",
            "telephone_number": "702-735-7355",
            "fax_number": "702-735-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213608",
            "telephone_number": "702-735-7355",
            "fax_number": "702-735-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF ORTHOPAEDIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-731-1616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "3303ASC-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602200",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "V38027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.