PRIME CARDIOLOGY GROUP – Clinical Cardiac Electrophysiology Physician, NPI 1730710807
Clinical Cardiac Electrophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PRIME CARDIOLOGY GROUP
10105 Banburry Cross Dr Ste 130
Las Vegas, NV 891446642
Phone: (702) 805-5678
Fax: (725) 204-0423
Type: Location
2911 N TENAYA WAY STE 104
LAS VEGAS, NV 891280488
Phone: (702) 805-5678
Type: Mailing
6040 S Fort Apache Rd Ste 100
Las Vegas, NV 891485613
Phone: (702) 805-5678
Fax: (725) 204-0423
Type: Location
825 N Gibson Rd Ste 321
Henderson, NV 890111708
Phone: (702) 805-5678
Fax: (725) 204-0423
Type: Location
2855 Saint Rose Pkwy Ste 110
Henderson, NV 890524812
Phone: (702) 805-5678
Fax: (725) 204-0423
Type: Location
2855 SAINT ROSE PKWY STE 110
HENDERSON, NV 890524812
Phone: (702) 805-5678
Fax: (725) 204-0423
Type: Mailing
9950 W CHEYENNE AVE
LAS VEGAS, NV 891297700
Phone: (702) 805-5678
Fax: (725) 204-0423
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2020-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (103 days ago).
Enrollment records
1
Earliest due date
2026-02-28
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 |
|---|---|---|---|---|
| O20200321000456 | O | Clinic/Group Practice | NV | 2026-02-28 |
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 89144)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.