FUB LLC
NPI 1407737539
Family Medicine - Adult Medicine in Las Vegas, NV

Active since September 08, 2025
10040 W CHEYENNE AVE, LAS VEGAS, NV 89129(702) 344-4996(702) 240-6544 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fub Llc NPPES

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

FUB LLC (NPI 1407737539) is a healthcare organization registered as an adult medicine in Las Vegas, Nevada and active in the NPI registry since September 2025. The organization lists Sean Su, Md, as its authorized official.

NPPES Registry Identity

NPI1407737539
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameFUB LLC
Location Address10040 W CHEYENNE AVELas Vegas, NV 89129-7719
Mailing Address10040 W Cheyenne AveLas Vegas, NV 89129-7719 · (702) 344-4996 · Fax (702) 250-6545
Fax(702) 240-6544
Organization SubpartNo
Authorized OfficialSean SuMd · (702) 338-9500
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1407737539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
10040 W CHEYENNE AVE, Las Vegas, NV 89129

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)

Fub 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 Fub LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1760597405
2451 PROFESSIONAL CT STE 110
Las Vegas, NV 89128
(702) 240-4242
✔ PECOS✔ Accepts Medicare3.6 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 Fub LLC's NPI number?

The NPI number for Fub LLC is 1407737539. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Fub LLC located?

Fub LLC is located at 10040 W Cheyenne Ave, Las Vegas, NV 89129. The listed phone number is (702) 344-4996.

What is Fub LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Fub LLC enrolled in Medicare?

Yes. Fub LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fub LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Fub 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.

When was this NPI record last updated?

The NPPES record for Fub LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.