SPECIALTY ASC LLC NPI 1083669196

NPI Information

  • NPI: 1083669196
  • Provider Name: SPECIALTY ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SURGICAL ARTS CENTER
  • CLIA Number: 29D0991624
  • Address: 9499 W CHARLESTON BLVD
    SUITE 250
    LAS VEGAS, NV
    ZIP 89117
  • Phone: (702) 933-3600

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NPI Details

SPECIALTY ASC LLC is an ambulatory surgical clinic center in Las Vegas, NV. SPECIALTY ASC LLC NPI is 1083669196. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgical Arts Center.

The provider's business location address is:

9499 W CHARLESTON BLVD
SUITE 250
LAS VEGAS, NV
ZIP 89117-147
Phone: (702) 933-3600
Fax: (702) 933-3601

The provider's authorized official is Michelle Bennion .
The authorized official title is Administrator and has the following contact phone number (702) 933-3600.

The CLIA number assigned to this NPI record is 29D0991624 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Repair of knee joint with drilling and or scraping of joint using an endoscope (HCPCS:29879)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Release of ligaments at outer side of knee joint using an endoscope (HCPCS:29873)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Removal of joint lining from multiple knee joint compartments using an endoscope (HCPCS:29876)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Repair of chronic torn shoulder rotator cuff (HCPCS:23412)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Partial removal or repair of shoulder bone near collar bone (HCPCS:23130)
  • Removal of shoulder joint lining (HCPCS:23105)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Partial removal of collar bone (HCPCS:23120)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Repair of shoulder socket using an endoscope (HCPCS:29807)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 3/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical3406ASC-8NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
129C0001049OTHERNEVADAMEDICARE DMERC
24602060MEDICAIDNEVADA
3V36164MEDICARE PINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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