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DESERT ORTHOPAEDIC CENTER, LTD.
NPI 1548235302
Orthopaedic Surgery in Las Vegas, NV

Active since February 22, 2006CLIA Certified · 3 labs
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121(702) 731-1616(702) 734-4900 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Desert Orthopaedic Center, Ltd. NPPES

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

DESERT ORTHOPAEDIC CENTER, LTD. (NPI 1548235302) is a healthcare organization registered as an orthopaedic surgery in Las Vegas, Nevada and active in the NPI registry since February 2006. The organization holds 3 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Michael Francis Pendleton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1548235302
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameDESERT ORTHOPAEDIC CENTER, LTD.
Location Address2800 E DESERT INN RD STE 100Las Vegas, NV 89121-3609
Mailing AddressPo Box 50509Henderson, NV 89016-0509 · (702) 731-1616 · Fax (702) 731-0741
Phone(702) 731-1616
Fax(702) 734-4900
Organization SubpartNo
Authorized OfficialMichael Francis PendletonAdministrator · (702) 731-1616
Enumeration DateFebruary 22, 2006
Last NPPES UpdateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
✔ NPI 1548235302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2800 E DESERT INN RD STE 100, Las Vegas, NV 89121
Open in Google Maps ↗

Secondary Practice Locations 4

Location 18689 W Charleston Blvd Ste 105Las Vegas, NV 89117-5485 · Phone (702) 731-1616 · Fax (702) 734-4900
Location 28205 W Warm Springs Rd Ste 250Las Vegas, NV 89113-3646 · Phone (702) 731-1616 · Fax (702) 734-4900
Location 38402 Centennial PkwyLas Vegas, NV 89149-4792 · Phone (702) 731-1616 · Fax (702) 734-4900
Location 42930 W Horizon Ridge Pkwy Ste 100Henderson, NV 89052-5059 · Phone (702) 731-1616 · Fax (702) 734-4900

Other Identifiers 4

Medicaid100502926NV
OtherC12370NV · Rr Medicare
OtherVWCGWGNV · Medicare
Medicaid1548235302NV

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)

Desert Orthopaedic Center, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

98

Medicare enrollment records show 98 clinicians reassign Medicare billing to Desert Orthopaedic Center, Ltd., which bills Medicare for the services they deliver. Of these, 43 practice at this address and 65 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Physical Therapist in Private Practice46
Orthopedic Surgery27
Nurse Practitioner11
Podiatry7
Pain Management2
Anesthesiology1
Family Practice1
Hand Surgery1
2 other specialties2

Nearest to this location (20)

See all 98
John Baldauf, M.D.
Orthopedic Surgery
NPI 1891773479
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Hugh Bassewitz, M.D.
Orthopedic Surgery
NPI 1083692586
2800 E DESERT INN RD SUITE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Kelsey Changsing, DPT
Physical Therapist in Private Practice
NPI 1922670165
2800 E DESERT INN RD STE 200
Las Vegas, NV 89121
(702) 294-7499
✔ Accepts MedicareSame address
Nicholas Dibble, DPT
Physical Therapist in Private Practice
NPI 1831617695
2800 E DESERT INN RD STE 200
Las Vegas, NV 89121
(702) 294-7499
✔ Accepts MedicareSame address
Thomas Dunn, M.D.
Orthopedic Surgery
NPI 1649258054
2800 E DESERT INN RD SUITE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Roger Fontes, MD
Orthopedic Surgery
NPI 1649258880
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Matthew Fouse, M.D.
Orthopedic Surgery
NPI 1306898119
2800 E DESERT INN RD SUITE #100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Melanie Gray, PT
Physical Therapist in Private Practice
NPI 1235686122
2800 E DESERT INN RD SUITE 100
Las Vegas, NV 89121
(702) 294-7499
✔ Accepts MedicareSame address
Megan Hovermale, NP
Nurse Practitioner
NPI 1790072114
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Andrew Kim, D.O., PLLC
Pain Management
NPI 1417100918
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Kenneth King, DPM
Podiatry
NPI 1386177327
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Casey Marano, OT
Occupational Therapist in Private Practice
NPI 1619949732
2800 E DESERT INN RD SUITE 100
Las Vegas, NV 89121
(702) 294-7499
✔ Accepts MedicareSame address
Dallan Mckee, APRN
Nurse Practitioner
NPI 1578005658
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Matthew Parsons, DPT
Physical Therapist in Private Practice
NPI 1194495366
2800 E DESERT INN RD STE 200
Las Vegas, NV 89121
(702) 294-7499
✔ Accepts MedicareSame address
Nicole Placheta-Yogi, APRN, FNP-C
Nurse Practitioner
NPI 1568226405
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Alessandro Ronconi, DPT
Physical Therapist in Private Practice
NPI 1851030423
2800 E DESERT INN RD STE 200
Las Vegas, NV 89121
(702) 294-7499
✔ Accepts MedicareSame address
Walter Song, M.D.
Hand Surgery
NPI 1669652996
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Kennedy Graves, APRN
Nurse Practitioner
NPI 1952249278
2800 E DESERT INN RD
Las Vegas, NV 89121
(702) 766-6514
✔ PECOSSame address
Tayler Thomas, DPM
Podiatry
NPI 1114604311
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
Jessica Zarndt, DO
Family Practice
NPI 1164670550
2800 E DESERT INN RD STE 100
Las Vegas, NV 89121
(702) 731-1616
✔ PECOS✔ Accepts MedicareSame address
See all 98 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 29D2044854

Desert Orthopaedic Center Ltd · Henderson, NV
Active · expires Jun 1, 2028
CLIA Number29D2044854
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorAndrew B. Kim
Laboratory Phone(702) 731-1616
Laboratory LocationDesert Orthopaedic Center Ltd2930 W Horizon Ridge Parkway Ste 100, Henderson, NV 89052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2148992

Desert Orthopaedic Center Ltd · Las Vegas, NV
Active · expires May 21, 2028
CLIA Number29D2148992
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorAndrew Kim
Laboratory Phone(702) 731-1616
Laboratory LocationDesert Orthopaedic Center Ltd2800 E Desert Inn Rd Ste 200, Las Vegas, NV 89121
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2044856

Desert Orthopaedic Center Ltd · Las Vegas, NV
Active · expires Feb 13, 2027
CLIA Number29D2044856
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorAndrew Kim
Laboratory Phone(702) 731-1616
Laboratory LocationDesert Orthopaedic Center Ltd8402 W Centennial Pkwy Fl 2, Las Vegas, NV 89149
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Desert Orthopaedic Center, Ltd.'s NPI number?

The NPI number for Desert Orthopaedic Center, Ltd. is 1548235302. It was assigned to this organization in the NPPES registry on February 22, 2006.

Where is Desert Orthopaedic Center, Ltd. located?

Desert Orthopaedic Center, Ltd. is located at 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121. The listed phone number is (702) 731-1616.

What is Desert Orthopaedic Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Desert Orthopaedic Center, Ltd. enrolled in Medicare?

Yes. Desert Orthopaedic Center, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Orthopaedic Center, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 98 clinicians in 10 Medicare specialties reassign their Medicare billing to Desert Orthopaedic Center, Ltd.. 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 Physical Therapist in Private Practice (46), Orthopedic Surgery (27) and Nurse Practitioner (11). Of these, 43 practice at this address and 65 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Desert Orthopaedic Center, Ltd. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Desert Orthopaedic Center, Ltd. was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.