Orthopedics & Sports Medicine LLC
NPI 1265419014 · Sports Medicine (Orthopaedic Surgery) Physician · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Orthopedics & Sports Medicine LLC is a Sports Medicine (Orthopaedic Surgery) Physician organization in Las Vegas, NV (NPI 1265419014).
Provider details
- NPI number
- 1265419014
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carmelina Simon, Business Office Manager(702) 933-9393
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Knee and Shoulder Institute
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Orthopedics & Sports Medicine LLC's NPI number?
- Orthopedics & Sports Medicine LLC's National Provider Identifier (NPI) is 1265419014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Orthopedics & Sports Medicine LLC?
- Orthopedics & Sports Medicine LLC is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Orthopedics & Sports Medicine LLC located?
- Orthopedics & Sports Medicine LLC's practice location on file with NPPES is 9499 W Charleston Blvd, Las Vegas, NV 89117-7147.
- What is Orthopedics & Sports Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Orthopedics & Sports Medicine LLC is (702) 933-9393.
- Does Orthopedics & Sports Medicine LLC accept Medicare?
- Orthopedics & Sports Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Orthopedics & Sports Medicine LLC?
- The authorized official listed on Orthopedics & Sports Medicine LLC's NPPES record is Carmelina Simon, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Orthopedics & Sports Medicine LLC's NPI active?
- Yes — Orthopedics & Sports Medicine LLC's NPI (1265419014) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.