NPIMap

Individual provider Active NPI

Peter Lee, D.O

  • Vascular Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1750760773
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
DO3340 Issued in NV
Practice address
8930 W Sunset Rd # 250
Las Vegas, NV 89148-5008
Phone
(702) 565-8346
NPI assigned
May 22, 2015
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X DO3340 NV Primary

Addresses

Primary practice location

8930 W Sunset Rd # 250
Las Vegas, NV 89148-5008

Mailing address

8791 Alta Dr Ste 3038
Las Vegas, NV 89145-8575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830003995 NV Practitioner - Vascular Surgery 0941600233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nkdhc Rudnitsky PLLCGroup PAC ID 1557582210, 44 clinicians
Vegas Vascular Specialists PLLCGroup PAC ID 8325417793, 9 clinicians

Practice addresses (Care Compare)

3051 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-4690
Phone (702) 640-5443

8930 W Sunset Rd
Suite 250
Las Vegas, NV 89148-5008
Phone (702) 565-8346

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal36
Leg revascularization (restoring blood flow)51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3340NVMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nkdhc Rudnitsky PLLC Vascular Surgery CurrentSince Jul 31, 2025 Accepting new patients
Vegas Vascular Specialists PLLC Vascular Surgery CurrentSince Aug 1, 2023 Accepting new patients
Las Vegas Surgical Associates LLP Vascular Surgery CurrentSince Aug 1, 2023 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Nkdhc Rudnitsky PLLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

3051 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 640-5443

9811 W Charleston Blvd
Ste 2640
Las Vegas, NV 89117

8930 W Sunset Rd
Ste 250
Las Vegas, NV 89148
Phone (702) 258-7788

2450 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (702) 853-0090

2450 Fire Mesa St
Ste 100
Las Vegas, NV 89128
Phone (702) 341-8031

8930 W Sunset Rd
Ste 120
Las Vegas, NV 89148

9811 W Charleston Blvd
Unit 2640
Las Vegas, NV 89117

Interoperability endpoints

  • Direct secure messaging: peter.lee.p112@direct.aac.nextgenshare.com
  • Direct secure messaging: plee1772136@direct.trinity-health.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1750760773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 ALTA DR STE 3038",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD # 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485008",
            "telephone_number": "702-565-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PETER",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NV",
            "license": "DO3340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.