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STONECREEK SURGERY CENTER LLC
NPI 1417114166
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Active since May 20, 2008CLIA 29D1083213 · Waiver
5915 S RAINBOW BLVD STE 108, LAS VEGAS, NV 89118(702) 227-7959(702) 227-6344 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2022, Mar 24, 2021 (2 updates tracked since 2021).

About Stonecreek Surgery Center Llc NPPES

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

STONECREEK SURGERY CENTER LLC (NPI 1417114166) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Amy Grim, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1417114166
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTONECREEK SURGERY CENTER LLC
Location Address5915 S RAINBOW BLVD STE 108Las Vegas, NV 89118-2558
Mailing Address2850 W Horizon Ridge Pkwy Ste 300Henderson, NV 89052-4395 · (702) 202-4776
Phone(702) 227-7959
Fax(702) 227-6344
Organization SubpartNo
Authorized OfficialAmy GrimCredentialing Specialist · (702) 202-4776
Enumeration DateMay 20, 2008
Last NPPES UpdateMarch 11, 20222 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1417114166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5915 S RAINBOW BLVD STE 108, Las Vegas, NV 89118
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Other Identifiers 1

Medicaid1417114166NV

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D1083213

Stonecreek Surgery Center LLC · Las Vegas, NV
Active · expires Apr 28, 2028
CLIA Number29D1083213
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorOmar Khan
Laboratory Phone(702) 227-7959
Laboratory LocationStonecreek Surgery Center LLC5915 S Rainbow Blvd Ste 108, Las Vegas, NV 89118
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
604 services383 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
236 services162 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
71 services41 patients
Dilation of fluid outflow drainage within eye 66174
Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.
63 services42 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
58 services48 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
47 services35 patients

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 Stonecreek Surgery Center LLC's NPI number?

The NPI number for Stonecreek Surgery Center LLC is 1417114166. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is Stonecreek Surgery Center LLC located?

Stonecreek Surgery Center LLC is located at 5915 S Rainbow Blvd Ste 108, Las Vegas, NV 89118. The listed phone number is (702) 227-7959.

What is Stonecreek Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Stonecreek Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D1083213) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stonecreek Surgery Center LLC was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.