Las Vegas Skin and Cancer Clinics – Dermatology Physician, NPI 1295338416
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Las Vegas Skin and Cancer Clinics
12700 PARK CENTRAL DR STE 1210
DALLAS, TX 752511522
Phone: (702) 360-2763
Fax: (949) 783-2880
Type: Mailing
630 S RANCHO DR STE E
LAS VEGAS, NV 891064849
Phone: (702) 258-1001
Fax: (702) 258-8215
Type: Location
2650 N Tenaya Way Ste 208
Las Vegas, NV 891281104
Phone: (702) 360-2100
Fax: (702) 360-3201
Type: Location
8205 W Warm Springs Rd Ste 190
Las Vegas, NV 891133647
Phone: (702) 588-6730
Fax: (702) 588-6732
Type: Location
9780 W Skye Canyon Park Dr Ste 100
Las Vegas, NV 891666625
Phone: (702) 589-3100
Type: Location
400 N Stephanie St Ste 400
Henderson, NV 890146692
Phone: (702) 990-4800
Type: Location
653 N Town Center Dr Ste 214
Las Vegas, NV 891440516
Phone: (702) 255-7924
Type: Location
7220 S Cimarron Rd Ste 200And
Las Vegas, NV 891132159
Phone: (702) 933-0225
Type: Location
2285 CORPORATE CIR STE 200
HENDERSON, NV 890747759
Phone: (702) 360-2763
Fax: (949) 783-2880
Type: Mailing
4488 S PECOS RD
LAS VEGAS, NV 891215030
Phone: (702) 436-1001
Fax: (702) 436-3858
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: 2004-05-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| O20040527000772 | O | Clinic/Group Practice | NV | 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 75251)
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Reviews
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