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SURGICAL DERMATOLOGY AND LASER CENTER
NPI 1740516699
Dermatology - MOHS-Micrographic Surgery in Las Vegas, NV

Active since October 28, 2009
6460 MEDICAL CENTER ST, STE 350, LAS VEGAS, NV 89148(702) 255-6647(702) 933-1444 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Surgical Dermatology And Laser Center NPPES

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

SURGICAL DERMATOLOGY AND LASER CENTER (NPI 1740516699) is a healthcare organization registered as a mohs-micrographic surgery in Las Vegas, Nevada and active in the NPI registry since October 2009. The organization lists Cindy Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1740516699
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameFIFE DERMATOLOGY, P.C.
Location Address6460 MEDICAL CENTER ST, STE 350Las Vegas, NV 89148-2406
Mailing Address6460 Medical Center Street, Ste 350Las Vegas, NV 89148 · (702) 255-6647 · Fax (702) 933-1444
Phone(702) 255-6647
Fax(702) 933-1444
Organization SubpartNo
Authorized OfficialCindy JonesOffice Manager · (702) 255-6647
Enumeration DateOctober 28, 2009
Last NPPES UpdateJune 3, 2015
✔ NPI 1740516699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NV · 13164
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
6460 MEDICAL CENTER ST, Las Vegas, NV 89148
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Other Names 1

Doing Business AsSurgical Dermatology And Laser Center

Other Identifiers 1

Other1225228034NV · Individual Npi

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, Ambetter 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)

Surgical Dermatology And Laser Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Surgical Dermatology And Laser Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology5
Micrographic Dermatologic Surgery (MDS)3
Nurse Practitioner2

Clinicians, nearest first (10)

Douglas Fife, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1225228034
6460 MEDICAL CENTER ST SUITE 350
Las Vegas, NV 89148
(702) 255-6647
✔ PECOS✔ Accepts MedicareSame address
Mac Machan, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1649505496
6460 MEDICAL CENTER ST STE 350
Las Vegas, NV 89148
(702) 255-6647
✔ PECOS✔ Accepts MedicareSame address
Victoria Farley, M.D.
Dermatology
NPI 1013039072
6460 MEDICAL CENTER ST STE 200
Las Vegas, NV 89148
(702) 255-6647
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Langford, DO
Dermatology
NPI 1093726028
6460 MEDICAL CENTER ST STE 350
Las Vegas, NV 89148
(702) 255-6647
✔ PECOS✔ Accepts MedicareSame address
Nasslynne Lenz, APRN, AGPCNP-BC
Nurse Practitioner
NPI 1023596186
6460 MEDICAL CENTER ST STE 350
Las Vegas, NV 89148
(702) 255-6647
✔ PECOS✔ Accepts MedicareSame address
Steven Peine, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1508858192
6460 MEDICAL CENTER ST., SUITE 350
Las Vegas, NV 89148
(702) 255-6647
✔ PECOS✔ Accepts MedicareSame address
Ryan Sittler, APRN
Nurse Practitioner
NPI 1184248387
2650 N TENAYA WAY STE 208
Las Vegas, NV 89128
(702) 360-2100
✔ PECOS✔ Accepts Medicare9.7 mi
Graham Litchman, D.O.
Dermatology
NPI 1013443787
1099 RIDGEGATE PARKWAY GRADUATE MEDICAL EDUCATION OFFICE SUITE 120,
Lone Tree, CO 80124
(720) 874-2406
✔ PECOS✔ Accepts Medicare618 mi
Reba Suri, MD
Dermatology
NPI 1154958767
11520 W 119TH ST
Overland Park, KS 66213
(913) 232-9372
✔ PECOS✔ Accepts Medicare1,145 mi
Alexander Nguyen, MD
Dermatology
NPI 1740867555
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare1,323 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 Fife Dermatology, P.C.'s NPI number?

The NPI number for Fife Dermatology, P.C. is 1740516699. It was assigned to this organization in the NPPES registry on October 28, 2009. The provider is doing business as Surgical Dermatology And Laser Center.

Where is Fife Dermatology, P.C. located?

Fife Dermatology, P.C. is located at 6460 Medical Center St Ste 350, Las Vegas, NV 89148. The listed phone number is (702) 255-6647.

What is Fife Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Fife Dermatology, P.C. enrolled in Medicare?

Yes. Fife Dermatology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fife Dermatology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Fife Dermatology, P.C.. 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 Dermatology (5), Micrographic Dermatologic Surgery (MDS) (3) and Nurse Practitioner (2). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fife Dermatology, P.C. accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Fife Dermatology, P.C. 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 Fife Dermatology, P.C. was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.