Organization Active NPI

Prime Cardiology Group PLLC

  • Clinical Cardiac Electrophysiology Physician
  • Las Vegas, NV
National Provider Identifier
1730710807
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
PRIME CARDIOLOGY GROUP PLLC
Practice address
9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700
Phone
(702) 805-5678
Fax
(725) 204-0423
NPI assigned
Jan 28, 2020
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Melonie Sinclair
Title
Sr. Credentialing Specialist
Phone
(281) 673-7752

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Clinical Cardiac Electrophysiology Physician 207RC0001X NU Primary
Interventional Cardiology Physician 207RI0011X NU

Addresses

Primary practice location

9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700

Mailing address

2855 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4812
Phone (702) 805-5678

Other practice location 1

10105 Banburry Cross Dr Ste 130
Las Vegas, NV 89144-6642
Phone (702) 805-5678

Other practice location 2

9950 W Cheyenne Ave Ste 150
Las Vegas, NV 89129-7700
Phone (702) 805-5678

Other practice location 3

2855 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4812
Phone (702) 805-5678

Other practice location 4

825 N Gibson Rd Ste 321
Henderson, NV 89011-1708
Phone (702) 805-5678

Other practice location 5

6040 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5613
Phone (702) 805-5678

Other identifiers 2

IdentifierTypeStateIssuer
11289OtherNVNEVADA MEDICAL LICENSE
NV20201689839OtherNVNEVADA STATE BUSINESS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200321000456 NV Part B Supplier - Clinic/Group Practice 5890123046 Receives reassigned benefits from 16 practitioners
Practice locations: Las Vegas, NV; Henderson, NV

National Provider Directory

National Provider Directory

Locations

2855 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 805-5678

825 N Gibson Rd
Ste 321
Henderson, NV 89011
Phone (702) 805-5678

9950 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 805-5678

9950 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1730710807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524812",
            "telephone_number": "702-805-5678",
            "fax_number": "725-204-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297700",
            "telephone_number": "702-805-5678",
            "fax_number": "725-204-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10105 Banburry Cross Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446642",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "fax_number": "725-204-0423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 W Cheyenne Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297700",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "fax_number": "725-204-0423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2855 Saint Rose Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524812",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "fax_number": "725-204-0423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 N Gibson Rd Ste 321",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890111708",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "fax_number": "725-204-0423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485613",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "fax_number": "725-204-0423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME CARDIOLOGY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "281-673-7752"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA MEDICAL LICENSE",
            "identifier": "11289",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BUSINESS LICENSE",
            "identifier": "NV20201689839",
            "state": "NV"
        }
    ],
    "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 Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.