MEDICAL GROUP LLC
NPI 1366681538
Internal Medicine - Geriatric Medicine in Las Vegas, NV

Active since February 11, 2009
9315 W SUNSET RD, SUITE 100, LAS VEGAS, NV 89148(702) 638-7705(702) 638-7706 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medical Group Llc NPPES

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

MEDICAL GROUP LLC (NPI 1366681538) is a healthcare organization registered as a geriatric medicine in Las Vegas, Nevada and active in the NPI registry since February 2009. The organization lists Roland Jayson Pua, Owner, as its authorized official.

NPPES Registry Identity

NPI1366681538
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMEDICAL GROUP LLC
Location Address9315 W SUNSET RD, SUITE 100Las Vegas, NV 89148-5011
Mailing Address9315 W Sunset Rd, Suite 100Las Vegas, NV 89148-5011 · (702) 638-7705 · Fax (702) 638-7706
Fax(702) 638-7706
Organization SubpartNo
Authorized OfficialRoland Jayson PuaOwner · (702) 638-7705
Enumeration DateFebruary 11, 2009
Last NPPES UpdateOctober 7, 2016
✔ NPI 1366681538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in NV · 12103
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
9315 W SUNSET RD, Las Vegas, NV 89148

Other Identifiers 3

Other207RG0600XTaxonomy
Medicaid100511248NV
Other1215009782NV · Npi

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

Accepted 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)

Medical Group Llc 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 Medical Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1215009782
9460 W FLAMINGO RD SUITE 120
Las Vegas, NV 89147
(702) 638-7705
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1699333682
10155 W TWAIN AVE
Las Vegas, NV 89147
(702) 791-1400
✔ PECOS3.8 mi
Nurse Practitioner
NPI 1902150840
9308 CANALINO DR
Las Vegas, NV 89134
(702) 533-7344
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1205275500
3737 PECOS MCLEOD STE 101
Las Vegas, NV 89121
(702) 369-5436
✔ PECOS✔ Accepts Medicare11 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 Medical Group LLC's NPI number?

The NPI number for Medical Group LLC is 1366681538. It was assigned to this organization in the NPPES registry on February 11, 2009.

Where is Medical Group LLC located?

Medical Group LLC is located at 9315 W Sunset Rd Suite 100, Las Vegas, NV 89148. The listed phone number is (702) 638-7705.

What is Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Medical Group LLC enrolled in Medicare?

Yes. Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Medical Group 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 Nurse Practitioner (3) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical Group LLC accept?

Health plans from Molina Healthcare list Medical Group 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 Medical Group LLC was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.