CANYON TRAILS FAMILY PRACTICE & SPORTS MEDICINE
NPI 1548398647
Family Medicine - Sports Medicine in Las Vegas, NV

Q: What is Michael J Gunter Ltd's NPI number?

The NPI number for Michael J Gunter Ltd is 1548398647. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider is doing business as Canyon Trails Family Practice & Sports Medicine.

Q: What is Michael J Gunter Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since March 01, 2007

7455 W WASHINGTON AVE, SUITE 445, LAS VEGAS, NV 89128(702) 804-5138(702) 804-5364 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Canyon Trails Family Practice & Sports Medicine NPPES

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

CANYON TRAILS FAMILY PRACTICE & SPORTS MEDICINE (NPI 1548398647) is a healthcare organization registered as a sports medicine in Las Vegas, Nevada and active in the NPI registry since March 2007. The organization lists Michael J Gunter, President, as its authorized official.

NPPES Registry Identity

NPI1548398647

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameMICHAEL J GUNTER LTD

Location Address7455 W WASHINGTON AVE, SUITE 445Las Vegas, NV 89128-4337

Mailing Address7455 W Washington Ave, Suite 445Las Vegas, NV 89128-4337 · (702) 804-5138 · Fax (702) 804-5364

Phone(702) 804-5138

Fax(702) 804-5364

Organization SubpartNo

Authorized OfficialMichael J GunterPresident · (702) 228-7117

Enumeration DateMarch 1, 2007

Last NPPES UpdateFebruary 1, 2011

✔ NPI 1548398647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NV · 8113

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

7455 W WASHINGTON AVE, Las Vegas, NV 89128

Open in Google Maps ↗

Other Names 1

Doing Business AsCanyon Trails Family Practice & Sports Medicine

Other Identifiers 1

Medicare PIN30731NV

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canyon Trails Family Practice & Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNevadaEnrollment IDO20051109000429Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Canyon Trails Family Practice & Sports Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Gunter, MD

Family Practice

NPI 1558319822

7455 W WASHINGTON AVE SUITE 445
Las Vegas, NV 89128

(702) 804-5138

✔ PECOS✔ Accepts MedicareSame address

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

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 29D0978926

Canyon Trails Family Practice & Sports Medicine · Las Vegas, NV

Expired · Oct 5, 2026

CLIA Number29D0978926

Laboratory TypePhysician Office

Certificate Effective DateOctober 6, 2024

Certificate Expiration DateOctober 5, 2026

Laboratory DirectorMichael J. Gunter MD

Laboratory Phone(702) 804-5138

Laboratory LocationCanyon Trails Family Practice & Sports Medicine7455 W Washington Ave Ste 445, Las Vegas, NV 89128

CLIA data matches this NPI record on: Address 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 Michael J Gunter Ltd's NPI number?

The NPI number for Michael J Gunter Ltd is 1548398647. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider is doing business as Canyon Trails Family Practice & Sports Medicine.

Where is Michael J Gunter Ltd located?

Michael J Gunter Ltd is located at 7455 W Washington Ave Suite 445, Las Vegas, NV 89128. The listed phone number is (702) 804-5138.

What is Michael J Gunter Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Michael J Gunter Ltd enrolled in Medicare?

Yes. Michael J Gunter Ltd is registered in the Medicare PECOS enrollment system.

When is Michael J Gunter Ltd's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Michael J Gunter Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Michael J Gunter 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael J Gunter Ltd was last updated on February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.