KWIATKOWSKI SURGICAL PLLC
NPI 1124964044
Specialist in Henderson, NV

Active since April 24, 2026
2505 ANTHEM VILLAGE DR STE E-298, HENDERSON, NV 89052(702) 688-9593 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2026, Apr 24, 2026 (2 updates tracked since 2026).

About Kwiatkowski Surgical Pllc NPPES

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

KWIATKOWSKI SURGICAL PLLC (NPI 1124964044) is a healthcare organization registered as a specialist in Henderson, Nevada and active in the NPI registry since April 2026. The organization lists Terrance James Kwiatkowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1124964044
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKWIATKOWSKI SURGICAL PLLC
Location Address2505 ANTHEM VILLAGE DR STE E-298Henderson, NV 89052-5505
Mailing Address2505 Anthem Village Dr Ste E-298Henderson, NV 89052-5505 · (702) 688-9593
Organization SubpartNo
Authorized OfficialTerrance James KwiatkowskiOwner · (702) 688-9593
Enumeration DateApril 24, 2026
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1124964044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2505 ANTHEM VILLAGE DR STE E-298, Henderson, NV 89052

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Kwiatkowski Surgical Pllc 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 Kwiatkowski Surgical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1659353753
10410 S EASTERN AVE STE 110
Henderson, NV 89052
(702) 966-3100
✔ PECOS✔ Accepts Medicare1.7 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 Kwiatkowski Surgical PLLC's NPI number?

The NPI number for Kwiatkowski Surgical PLLC is 1124964044. It was assigned to this organization in the NPPES registry on April 24, 2026.

Where is Kwiatkowski Surgical PLLC located?

Kwiatkowski Surgical PLLC is located at 2505 Anthem Village Dr Ste E-298, Henderson, NV 89052. The listed phone number is (702) 688-9593.

What is Kwiatkowski Surgical PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kwiatkowski Surgical PLLC enrolled in Medicare?

Yes. Kwiatkowski Surgical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kwiatkowski Surgical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Kwiatkowski Surgical PLLC. 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.

When was this NPI record last updated?

The NPPES record for Kwiatkowski Surgical PLLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.