Orthopedics & Sports Medicine LLC
NPI 1265419014ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Las Vegas, NV
Orthopaedic Surgery, Sports Medicine in Las Vegas, Nevada, registered in NPPES in December 2005. The authorized official on file is Carmelina Simon, Business Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265419014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2005 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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