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NPI Code Detail

MEDICARE: VEGAS VALLEY BILLING COMPANY LLC

MEDICARE: VEGAS VALLEY BILLING COMPANY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician
2207XS0117XOrthopaedic Surgery of the Spine Physician
32086S0129XVascular Surgery Physician
42086S0102XSurgical Critical Care Physician

General Provider Information

NPI Number : 1386507416
Entity Type Code : Organization
Provider Name (Legal Business Name) : VEGAS VALLEY BILLING COMPANY LLC
Provider Business Mailing Address
First Line : 12137 SAGE THUNDER AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138
Country : US
Telephone Number : 702-277-9534
Fax Number :
Provider Business Practice Location Address
First Line : 12137 SAGE THUNDER AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138
Country : US
Telephone Number : 702-277-9534
Fax Number :
Authorized Official
Title or Position : SOLE MBR
Name : PETER CARAVELLA
Credential : MD
Telephone Number : 702-277-9534
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “VEGAS VALLEY BILLING COMPANY LLC ” Practice Location

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