1849 LLC — NPI 1386967420 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery

CMS-1500 Box 24J / 33a • NPI

1386967420

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2086S0105X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand

Box 32 Service Location & ZIP+4

11 W PACIFIC AVE, HENDERSON, NV, 89015-7304

✓ 9-Digit EDI 837 ZIP+4 (89015-7304)

Practice Phone & Referral Fax

(702) 568-0007

Fax: (702) 568-6299

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1386967420 (1849 LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1386967420` (NPI-2 Organization / Facility)
Provider / Legal Name	1849 LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand NUCC Code: `2086S0105X` (Surgery, Surgery of the Hand)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11 W PACIFIC AVE, HENDERSON, NV, 89015-7304
Practice Telephone / Fax	Tel: (702) 568-0007 \| Fax: (702) 568-6299
Administrative Mailing Address	PO BOX 33292, LAS VEGAS, NV, 89133-3292
Enumeration & Last Sync	Enumerated: 2010-03-03 \| CMS Record Updated: 2010-03-03
Authorized Official	JONATHAN SORELLE (Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11 W PACIFIC AVE, HENDERSON, NV, 89015-7304

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Plain-English Taxonomy & CMS Crosswalk (2086S0105X)

What Does Taxonomy Code 2086S0105X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0105X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 40 (Physician/Hand Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Surgery, Surgery of the Hand for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (1849 LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2086S0105X` — Surgery, Surgery of the Hand Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand	State: NV \| License: `12562` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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1849 LLC (NPI #1386967420)