DESERT ORTHOPAEDIC CENTER, LTD. – Orthopaedic Surgery Physician, NPI 1548235302
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DESERT ORTHOPAEDIC CENTER, LTD.
PO BOX 50509
HENDERSON, NV 890160509
Phone: (702) 731-1616
Fax: (702) 731-0741
Type: Mailing
2800 E DESERT INN RD STE 100
LAS VEGAS, NV 891213609
Phone: (702) 731-1616
Fax: (702) 734-4900
Type: Location
8402 Centennial Pkwy
Las Vegas, NV 891494792
Phone: (702) 731-1616
Fax: (702) 734-4900
Type: Location
2930 W Horizon Ridge Pkwy Ste 100
Henderson, NV 890525059
Phone: (702) 731-1616
Fax: (702) 734-4900
Type: Location
8689 W Charleston Blvd Ste 105
Las Vegas, NV 891175485
Phone: (702) 731-1616
Fax: (702) 734-4900
Type: Location
8205 W Warm Springs Rd Ste 250
Las Vegas, NV 891133646
Phone: (702) 731-1616
Fax: (702) 734-4900
Type: Location
West Desert Inn Road, Rancho Charleston, Las Vegas, Clark County, Nevada, 89109, United States
SUITE #100
LAS VEGAS, NV 891213608
Phone: (702) 731-1616
Fax: (702) 731-0741
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040127001024 | O | Clinic/Group Practice | NV | TBD |
| O20100930013930 | O | Physician - Orthopedic/Orthopedic Surgery | NV | TBD |
| O20230922001589 | O | Clinic/Group Practice | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89016)
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