SOUTHWEST WOUND MANAGEMENT LLC
NPI 1912700105
General Practice in Las Vegas, NV
About Southwest Wound Management Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWEST WOUND MANAGEMENT LLC (NPI 1912700105), doing business as Southwest Wound Management, is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since March 2025. The organization lists Ian Kintanar, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwest Wound Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southwest Wound Management LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Southwest Wound Management LLC's NPI number?
The NPI number for Southwest Wound Management LLC is 1912700105. It was assigned to this organization in the NPPES registry on March 31, 2025. The provider is doing business as Southwest Wound Management.
Where is Southwest Wound Management LLC located?
Southwest Wound Management LLC is located at 2235 E Flamingo Rd Ste 142, Las Vegas, NV 89119. The listed phone number is (702) 818-9439.
What is Southwest Wound Management LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Southwest Wound Management LLC enrolled in Medicare?
Yes. Southwest Wound Management LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwest Wound Management LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southwest Wound Management LLC. 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, 1 practice 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 Southwest Wound Management LLC was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Southwest Wound Management Llc · NPI 1912700105
General Practice organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1912700105 (Entity type: Organization)
- **Enumerated:** March 31, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Southwest Wound Management (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ian Kintanar, MANAGING MEMBER
## Practice location
- **Address:** 2235 E FLAMINGO RD STE 142, Las Vegas, NV 89119-0806
- **Phone:** (702) 818-9439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912700105) · Data from the CMS NPPES public registry.