LAS VEGAS UROLOGY LLP – Urology Physician, NPI 1629054994
Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAS VEGAS UROLOGY LLP
PO BOX 98821
LAS VEGAS, NV 891938821
Phone: (702) 233-0727
Fax: (702) 233-4799
Type: Mailing
7500 Smoke Ranch Rd Ste 200
Las Vegas, NV 891280373
Phone: (702) 233-0727
Type: Location
2310 Corporate Cir Ste 200
Henderson, NV 890747729
Phone: (702) 735-8000
Type: Location
Smoke Ranch Road, Desert Shores, Las Vegas, Clark County, Nevada, 89128, United States
SUITE 200
LAS VEGAS, NV 891280392
Phone: (702) 233-0727
Fax: (702) 233-4799
Type: Location
3150 N Tenaya Way Ste 480
Las Vegas, NV 891280494
Phone: (702) 385-4342
Type: Location
1701 N Green Valley Pkwy Ste 10C
Henderson, NV 890745991
Phone: (702) 896-9600
Type: Location
7150 W Sunset Rd # 201A
Las Vegas, NV 891131981
Phone: (702) 385-4342
Type: Location
7150 W Sunset Rd Ste 100
Las Vegas, NV 891131982
Phone: (702) 834-3961
Type: Location
7150 W SUNSET RD STE 200
LAS VEGAS, NV 891131982
Phone: (702) 385-4342
Fax: (702) 385-4346
Type: Mailing
7150 W SUNSET RD STE 202B
LAS VEGAS, NV 891131981
Phone: (702) 385-4342
Fax: (702) 385-4346
Type: Location
7150 W SUNSET RD STE 201A
LAS VEGAS, NV 891131981
Phone: (702) 385-4342
Fax: (702) 385-4346
Type: Mailing
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: 2022-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (222 days ago).
Enrollment records
2
Earliest due date
2025-10-31
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 |
|---|---|---|---|---|
| O20040713001361 | O | Clinic/Group Practice | NV | 2026-10-31 |
| O20221003001455 | O | Physician - Urology | NV | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 89193)
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