NPIMap

Individual provider Active NPI

Matthew Bennion Peaden, D.O.

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1932420874
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
02004434 Issued in IN
Practice address
304 S Jones Blvd
Las Vegas, NV 89107-2623
Phone
(702) 882-8675
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SL0737 NV
Anesthesiology Physician 207L00000X 02004434 IN Primary

Addresses

Primary practice location

304 S Jones Blvd
Las Vegas, NV 89107-2623

Mailing address

11410 Sea Side Dr
Fishers, IN 46040-8201

Other identifiers 1

IdentifierTypeStateIssuer
P01424390OtherINRAIL ROAD PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140701000791 IN Practitioner - Anesthesiology 6002056660 Reassigns benefits to 1 organization
I20250429003156 NV Practitioner - Anesthesiology 6002056660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amin Dunckelmeyer and Luu PLLCGroup PAC ID 4385002682, 48 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89117
Phone (469) 983-0099

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SL0737NVMDSpecialist
02004434INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 15, 2014 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC Anesthesiology CurrentSince Feb 1, 2026 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 15, 2014 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

304 S Jones Blvd
Las Vegas, NV 89107
Phone (626) 399-6834

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

Interoperability endpoints

  • Direct secure messaging: mpeaden216537@ecommunitydirect.com

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 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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1932420874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 SEA SIDE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460408201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-882-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEADEN",
        "first_name": "MATTHEW",
        "middle_name": "BENNION",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "SL0737",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "02004434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD PTAN",
            "identifier": "P01424390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.