OrganizationActive
Summerlin Surgical Associates
NPI 1639350069 · Surgery Physician · Las Vegas, NV
Summerlin Surgical Associates is a Surgery Physician organization in Las Vegas, NV (NPI 1639350069).
Provider details
- NPI number
- 1639350069
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Petersen, Physician(702) 256-7616
- License
- 9665 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
653 N Town Center Dr
Las Vegas, NV 89144-0514
Phone: (702) 256-7616
Fax: (702) 256-1481
Street-level locationGet directions
Mailing address
653 N Town Center Dr
Las Vegas, NV 89144-0514
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2007-11-14
Frequently asked questions
- What is Summerlin Surgical Associates's NPI number?
- Summerlin Surgical Associates's National Provider Identifier (NPI) is 1639350069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summerlin Surgical Associates?
- Summerlin Surgical Associates is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Summerlin Surgical Associates located?
- Summerlin Surgical Associates's practice location on file with NPPES is 653 N Town Center Dr, Las Vegas, NV 89144-0514.
- What is Summerlin Surgical Associates's phone number?
- The practice phone number listed in the NPPES registry for Summerlin Surgical Associates is (702) 256-7616.
- Who is the authorized official for Summerlin Surgical Associates?
- The authorized official listed on Summerlin Surgical Associates's NPPES record is Kevin Petersen, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summerlin Surgical Associates's NPI active?
- Yes — Summerlin Surgical Associates's NPI (1639350069) is active in the NPPES registry as of the last update on 2007-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.