ORTHOPEDICS & SPORTS MEDICINE LLC
NPI 1265419014
Orthopaedic Surgery - Sports Medicine in Las Vegas, NV

Q: What is Orthopedics & Sports Medicine LLC's NPI number?

The NPI number for Orthopedics & Sports Medicine LLC is 1265419014. It was assigned to this organization in the NPPES registry on December 22, 2005. The provider is doing business as Knee and Shoulder Institute.

Q: What is Orthopedics & Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since December 22, 2005

9499 W CHARLESTON BLVD, STE 200, LAS VEGAS, NV 89117(702) 933-9393(702) 933-6789 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Sep 2, 2025 (2 updates tracked since 2025).

On this page

About Orthopedics & Sports Medicine Llc NPPES

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

ORTHOPEDICS & SPORTS MEDICINE LLC (NPI 1265419014), doing business as Knee And Shoulder Institute, is a healthcare organization registered as a sports medicine in Las Vegas, Nevada and active in the NPI registry since December 2005. The organization lists Carmelina Simon, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265419014

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameORTHOPEDICS & SPORTS MEDICINE LLC

Location Address9499 W CHARLESTON BLVD, STE 200Las Vegas, NV 89117-7147

Mailing AddressPo Box 97618Las Vegas, NV 89193-7618 · (702) 933-9393 · Fax (702) 933-6789

Phone(702) 933-9393

Fax(702) 933-6789

Organization SubpartNo

Authorized OfficialCarmelina SimonBusiness Office Manager · (702) 933-9393

Enumeration DateDecember 22, 2005

Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1265419014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedPhysical TherapistTaxonomy 225100000X

9499 W CHARLESTON BLVD, Las Vegas, NV 89117

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Other Names 1

Doing Business AsKnee And Shoulder Institute

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)

Orthopedics & Sports Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Orthopedics & Sports Medicine LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Donald Pennington, D.O.

Orthopedic Surgery

NPI 1538112792

9499 W CHARLESTON BLVD STE 200
Las Vegas, NV 89117

(029) 339-3937

✔ PECOS✔ Accepts MedicareSame address

Gregory Bigler, M.D.

Orthopedic Surgery

NPI 1730167255

9499 W CHARLESTON BLVD STE 200
Las Vegas, NV 89117

(702) 933-9393

✔ PECOSSame address

Russell Bouldin, R.P.T

Physical Therapist in Private Practice

NPI 1770551426

9499 W CHARLESTON BLVD SUITE 220
Las Vegas, NV 89117

(702) 933-9394

✔ Accepts MedicareSame address

Kristilyn Jeffries, DPT

Physical Therapist in Private Practice

NPI 1932681046

9499 W CHARLESTON BLVD STE 220
Las Vegas, NV 89117

(702) 933-9394

✔ Accepts MedicareSame address

Steven Thomas, MD

Orthopedic Surgery

NPI 1902807613

9499 W CHARLESTON BLVD STE 200
Las Vegas, NV 89117

(702) 933-9393

✔ PECOS✔ Accepts MedicareSame address

John Irwin, AGNP-BC

Nurse Practitioner

NPI 1134781891

9499 W CHARLESTON BLVD STE 250
Las Vegas, NV 89117

(702) 933-3600

✔ PECOSSame address

Justin Limtong

Orthopedic Surgery

NPI 1780190264

6190 S FORT APACHE RD
Las Vegas, NV 89148

(702) 485-5885

✔ PECOS✔ Accepts Medicare5.7 mi

James Schiemer, PT

Physical Therapist in Private Practice

NPI 1053327924

8402 W CENTENNIAL PARKWAY #240
Las Vegas, NV 89149

(702) 386-1250

✔ Accepts Medicare8.3 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 Orthopedics & Sports Medicine LLC's NPI number?

The NPI number for Orthopedics & Sports Medicine LLC is 1265419014. It was assigned to this organization in the NPPES registry on December 22, 2005. The provider is doing business as Knee and Shoulder Institute.

Where is Orthopedics & Sports Medicine LLC located?

Orthopedics & Sports Medicine LLC is located at 9499 W Charleston Blvd Ste 200, Las Vegas, NV 89117. The listed phone number is (702) 933-9393.

What is Orthopedics & Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Orthopedics & Sports Medicine LLC enrolled in Medicare?

Yes. Orthopedics & Sports Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopedics & Sports Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Orthopedics & Sports Medicine 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. The largest specialties are Orthopedic Surgery (4), Physical Therapist in Private Practice (3) and Nurse Practitioner (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orthopedics & Sports Medicine LLC was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.