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SOUTHERN NEVADA PAIN CENTER
NPI 1073624011
Pain Medicine - Interventional Pain Medicine in Las Vegas, NV

Active since August 31, 2006
6950 W DESERT INN RD, STE 110, LAS VEGAS, NV 89117(702) 259-5550(702) 259-5554 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Nevada Pain Center NPPES

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

SOUTHERN NEVADA PAIN CENTER (NPI 1073624011) is a healthcare organization registered as an interventional pain medicine in Las Vegas, Nevada and active in the NPI registry since August 2006. The organization lists Daniel K Kim, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1073624011
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSOUTHERN NEVADA PAIN CENTER KIM PC
Location Address6950 W DESERT INN RD, STE 110Las Vegas, NV 89117-3171
Mailing Address6950 W Desert Inn Rd, Ste 110Las Vegas, NV 89117-3171 · (702) 259-5550 · Fax (702) 259-5554
Phone(702) 259-5550
Fax(702) 259-5554
Organization SubpartNo
Authorized OfficialDaniel K KimMedical Director · (702) 259-5550
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 16, 2007
✔ NPI 1073624011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NV · 37818
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
6950 W DESERT INN RD, Las Vegas, NV 89117
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Other Names 1

Doing Business AsSouthern Nevada Pain Center

Other Identifiers 2

Medicare PIN37818
Medicare UPIN37818

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Nevada Pain Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Nevada Pain Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Daniel Kim, MD
Anesthesiology
NPI 1588642581
6950 W DESERT INN #110
Las Vegas, NV 89117
(702) 259-5500
✔ PECOSSame address
Edson Erkulvrawatr, M.D.
Anesthesiology
NPI 1306053848
6950 W DESERT INN RD STE 110
Las Vegas, NV 89117
(702) 259-5550
✔ PECOS✔ Accepts MedicareSame address
Micaela Prevatke, NP
Nurse Practitioner
NPI 1598423105
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
(520) 742-9000
✔ PECOS✔ Accepts Medicare357 mi
Michael Wilson
Pain Management
NPI 1912368937
6071 W OUTER DR
Detroit, MI 48235
(313) 966-1941
✔ PECOS✔ Accepts Medicare1,762 mi

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 Southern Nevada Pain Center Kim PC's NPI number?

The NPI number for Southern Nevada Pain Center Kim PC is 1073624011. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Southern Nevada Pain Center.

Where is Southern Nevada Pain Center Kim PC located?

Southern Nevada Pain Center Kim PC is located at 6950 W Desert Inn Rd Ste 110, Las Vegas, NV 89117. The listed phone number is (702) 259-5550.

What is Southern Nevada Pain Center Kim PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Southern Nevada Pain Center Kim PC enrolled in Medicare?

Yes. Southern Nevada Pain Center Kim PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Nevada Pain Center Kim PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Southern Nevada Pain Center Kim PC, in Anesthesiology, Nurse Practitioner and Pain Management. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Nevada Pain Center Kim PC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.