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SOUTHERN NEVADA SURGERY SPECIALISTS LTD
NPI 1669663910
Surgery in Henderson, NV

Active since August 01, 2007
10001 S EASTERN AVE STE 310, HENDERSON, NV 89052(702) 914-2420(702) 914-6653 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2023, Jan 10, 2019 (2 updates tracked since 2019).

About Southern Nevada Surgery Specialists Ltd NPPES

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

SOUTHERN NEVADA SURGERY SPECIALISTS LTD (NPI 1669663910) is a healthcare organization registered as a surgery in Henderson, Nevada and active in the NPI registry since August 2007. The organization lists Alison Kowalski, Secretary, as its authorized official.

NPPES Registry Identity

NPI1669663910
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHERN NEVADA SURGERY SPECIALISTS LTD
Location Address10001 S EASTERN AVE STE 310Henderson, NV 89052-3908
Mailing Address10001 S Eastern Ave Ste 310Henderson, NV 89052-3908 · (702) 914-2420 · Fax (702) 914-6653
Phone(702) 914-2420
Fax(702) 914-6653
Organization SubpartNo
Authorized OfficialAlison KowalskiSecretary · (702) 914-2420
Enumeration DateAugust 1, 2007
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1669663910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10001 S EASTERN AVE STE 310, Henderson, NV 89052
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Nevada Surgery Specialists Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Southern Nevada Surgery Specialists Ltd, which bills Medicare for the services they deliver. Of these, 13 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

General Surgery12
Colorectal Surgery (Proctology)1

Clinicians, nearest first (13)

Daniel Barrera, D.O.
General Surgery
NPI 1043693823
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Sean Dort, MD
General Surgery
NPI 1679551642
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Ashlee Justice, MD
General Surgery
NPI 1679913388
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Lyn Knoblock, MD
General Surgery
NPI 1043290919
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Fikre Mengistu, M.D.
General Surgery
NPI 1073812640
10001 S EASTERN AVE STE 201
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Yogesh Patel, MD
General Surgery
NPI 1891999140
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Santone, MD
General Surgery
NPI 1831621606
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
William Scott, DO
General Surgery
NPI 1134399744
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Charles Walton, MD
General Surgery
NPI 1407833395
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Jane Yeo, M.D.
General Surgery
NPI 1629426804
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Dawn Brown, D.O.
General Surgery
NPI 1023379112
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Robert Rakosi, M.D.
General Surgery
NPI 1801234232
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ PECOS✔ Accepts MedicareSame address
Adan Castrodad-Caraballo, MD
Colorectal Surgery (Proctology)
NPI 1760914188
10001 S EASTERN AVE STE 310
Henderson, NV 89052
(702) 914-2420
✔ 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.

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 Southern Nevada Surgery Specialists Ltd's NPI number?

The NPI number for Southern Nevada Surgery Specialists Ltd is 1669663910. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Southern Nevada Surgery Specialists Ltd located?

Southern Nevada Surgery Specialists Ltd is located at 10001 S Eastern Ave Ste 310, Henderson, NV 89052. The listed phone number is (702) 914-2420.

What is Southern Nevada Surgery Specialists Ltd's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Southern Nevada Surgery Specialists Ltd enrolled in Medicare?

Yes. Southern Nevada Surgery Specialists Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Nevada Surgery Specialists Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Nevada Surgery Specialists 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 General Surgery (12) and Colorectal Surgery (Proctology) (1). Of these, 13 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Nevada Surgery Specialists Ltd accept?

Health plans from Ambetter from Arizona Complete Health list Southern Nevada Surgery Specialists Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Nevada Surgery Specialists Ltd was last updated on March 24, 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.