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DR. KEVIN RAY BUCKWALTER MD
NPI 1003813478
General Practice in Las Vegas, NV

Active since June 30, 2005PECOS Enrolled
7151 CASCADE VALLEY CT STE 200, LAS VEGAS, NV 89128(702) 568-8450(702) 568-8451 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 7, 2017, Oct 17, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Kevin Ray Buckwalter Md NPPES

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

DR. KEVIN RAY BUCKWALTER MD (NPI 1003813478) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (8476) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1003813478
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KEVIN RAY BUCKWALTERCredential: MD
Location Address7151 CASCADE VALLEY CT STE 200Las Vegas, NV 89128-0498
Mailing Address1280 Monument Blvd, # 1Concord, CA 94520-4405 · (916) 733-6993 · Fax (916) 733-6989
Phone(702) 568-8450
Fax(702) 568-8451
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
✔ NPI 1003813478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in NV · 8476✔ Licensed in CA · A63401
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License A63401 (CA)
Also ListedSurgeryTaxonomy 208600000X · License A63401 (CA)
7151 CASCADE VALLEY CT STE 200, Las Vegas, NV 89128
Open in Google Maps ↗

Secondary Practice Location 1

Location 11280 MONUMENT BLVD, # 1CONCORD, CA 94520-4405 · Phone (916) 733-6993 · Fax (916) 733-6989

Other Identifiers 3

OtherA63401CA · License
Other8476NV · License
Other00A634010CA · Mcare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Ray Buckwalter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAO BON JR.
Physical Therapist
7151 CASCADE VALLEY CT STE 200
LAS VEGAS, NV 89128
Clark County (702) 568-8450
DR. GRAHAM MICHAEL WILSON M.D.
General Practice
7151 CASCADE VALLEY CT STE 200
LAS VEGAS, NV 89128
Clark County (702) 568-8450
MOUNTAIN VIEW PAIN MANAGEMENT
Pain Medicine (Pain Medicine)
7151 CASCADE VALLEY CT STE 200
LAS VEGAS, NV 89128
Clark County (702) 551-2006

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 Kevin Buckwalter's NPI number?

The NPI number for Kevin Buckwalter is 1003813478. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Kevin Buckwalter located?

Kevin Buckwalter practices at 7151 Cascade Valley Ct Ste 200, Las Vegas, NV 89128. The listed phone number is (702) 568-8450.

What is Kevin Buckwalter's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kevin Buckwalter enrolled in Medicare?

Yes. Kevin Buckwalter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Buckwalter was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.