PETER SU MD LLC
NPI 1073275566
Physical Medicine & Rehabilitation - Pain Medicine in Las Vegas, NV

Q: What is Peter Su MD LLC's NPI number?

The NPI number for Peter Su MD LLC is 1073275566. It was assigned to this organization in the NPPES registry on October 12, 2021.

Q: What is Peter Su MD LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Peter Su MD LLC was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2021

9260 W SUNSET RD STE 306, LAS VEGAS, NV 89148(702) 779-3994(888) 464-0838 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 25, 2023, Oct 9, 2023, Oct 12, 2021 (3 updates tracked since 2021).

On this page

About Peter Su Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER SU MD LLC (NPI 1073275566) is a healthcare organization registered as a pain medicine in Las Vegas, Nevada and active in the NPI registry since October 2021. The organization maintains 2 additional practice locations and lists Peter Su, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073275566

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NamePETER SU MD LLC

Location Address9260 W SUNSET RD STE 306Las Vegas, NV 89148-4903

Mailing Address8545 W. Warm Springs Road, Suite A-4 #396Las Vegas, NV 89113 · (702) 789-9698

Phone(702) 779-3994

Fax(888) 464-0838

Organization SubpartNo

Authorized OfficialPeter SuCeo · (702) 789-9698

Enumeration DateOctober 12, 2021

Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1073275566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedClinic/Center · PainTaxonomy 261QP3300X

9260 W SUNSET RD STE 306, Las Vegas, NV 89148

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Secondary Practice Locations 2

Location 12863 Saint Rose PkwyHenderson, NV 89052-4806 · Phone (702) 779-3994 · Fax (888) 428-0838

Location 26420 Spring Mountain Rd Ste 17Las Vegas, NV 89146-8835 · Phone (702) 779-3994 · Fax (888) 464-0838

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Su Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter Su MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peter Su, M.D.

Physical Medicine and Rehabilitation

NPI 1164721627

9260 W SUNSET RD STE 306
Las Vegas, NV 89148

(702) 779-3994

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Su MD LLC's NPI number?

The NPI number for Peter Su MD LLC is 1073275566. It was assigned to this organization in the NPPES registry on October 12, 2021.

Where is Peter Su MD LLC located?

Peter Su MD LLC is located at 9260 W Sunset Rd Ste 306, Las Vegas, NV 89148. The listed phone number is (702) 779-3994.

What is Peter Su MD LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Peter Su MD LLC enrolled in Medicare?

Yes. Peter Su MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peter Su MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Peter Su MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peter Su MD LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Peter Su MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Su MD LLC was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.