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SUNDANCE MEDICAL CENTER LLP
NPI 1447301973
Internal Medicine in Las Vegas, NV

Active since January 12, 2007
500 E WINDMILL LN STE 125, LAS VEGAS, NV 89123(702) 263-4795(702) 263-4804 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sundance Medical Center Llp NPPES

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

SUNDANCE MEDICAL CENTER LLP (NPI 1447301973) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since January 2007. The organization lists Patricia Peckham, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1447301973
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUNDANCE MEDICAL CENTER LLP
Location Address500 E WINDMILL LN STE 125Las Vegas, NV 89123-1845
Mailing Address105 N Pecos Rd, Ste 113Henderson, NV 89074-1995 · (702) 263-4795 · Fax (702) 263-4804
Phone(702) 263-4795
Fax(702) 263-4804
Organization SubpartNo
Authorized OfficialPatricia PeckhamBilling Manager · (702) 263-4795
Enumeration DateJanuary 12, 2007
Last NPPES UpdateDecember 6, 2017
✔ NPI 1447301973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 E WINDMILL LN STE 125, Las Vegas, NV 89123
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sundance Medical Center Llp 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 Sundance Medical Center LLP, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Heather Harris, FNP
Nurse Practitioner
NPI 1528223906
500 E WINDMILL LN STE 125
Las Vegas, NV 89123
(702) 263-4795
✔ PECOSSame address
Jessica Lucero, APN
Nurse Practitioner
NPI 1487726519
500 E WINDMILL LANE SUITE 125
Las Vegas, NV 89123
(702) 263-4795
✔ PECOSSame address
Justin Striblen, MD
Internal Medicine
NPI 1962563569
500 E WINDMILL LN STE 125
Las Vegas, NV 89123
(702) 263-4795
✔ PECOS✔ Accepts MedicareSame address
Thomas Peters, MD
Internal Medicine
NPI 1659432250
105 N PECOS RD STE113
Henderson, NV 89074
(702) 263-4795
✔ PECOS✔ Accepts Medicare2.9 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 Sundance Medical Center LLP's NPI number?

The NPI number for Sundance Medical Center LLP is 1447301973. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Sundance Medical Center LLP located?

Sundance Medical Center LLP is located at 500 E Windmill Ln Ste 125, Las Vegas, NV 89123. The listed phone number is (702) 263-4795.

What is Sundance Medical Center LLP's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sundance Medical Center LLP enrolled in Medicare?

Yes. Sundance Medical Center LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sundance Medical Center LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Sundance Medical Center LLP, in Internal Medicine and Nurse Practitioner. 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. Of these, 3 practice at this address and 4 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 Sundance Medical Center LLP was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.