KEVIN M WARREN
NPI 1043645617
Physician Assistant - Surgical in Mesa, AZ

Active since September 13, 2013PECOS EnrolledAccepts Medicare Assignment
1520 S DOBSON RD, SUITE 203, MESA, AZ 85202(480) 412-4839 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin M Warren NPPES

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

KEVIN M WARREN (NPI 1043645617) is an individual surgical provider in Mesa, Arizona, licensed in Arizona (5450) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043645617
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEVIN M WARREN
Location Address1520 S DOBSON RD, SUITE 203Mesa, AZ 85202-4725
Mailing Address1520 S Dobson Rd, Suite 203Mesa, AZ 85202-4725 · (480) 412-4839
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 13, 2013
NPI 1043645617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 5450
1520 S DOBSON RD, Mesa, AZ 85202

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin M Warren is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456587625
PECOS Enrollment IDI20131116000024
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 20

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

Nurse Practitioner (Family)
1520 S DOBSON RD, SUITE 209
MESA, AZ 85202
General Acute Care Hospital
1520 S DOBSON RD, SUITE 203
MESA, AZ 85202
Optometrist (Low Vision Rehabilitation)
1520 S DOBSON RD
MESA, AZ 85202
Internal Medicine (Gastroenterology)
1520 S DOBSON RD, STE 302
MESA, AZ 85202
Obstetrics & Gynecology
1520 S DOBSON RD, SUITE 316
MESA, AZ 85202
Dermatology
1520 S DOBSON RD, SUITE 320
MESA, AZ 85202
Preferred Provider Organization
1520 S DOBSON RD, SUITE 213
MESA, AZ 85202
Neurological Surgery
1520 S DOBSON RD, SUITE 203
MESA, AZ 85202

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 Warren's NPI number?

The NPI number for Kevin Warren is 1043645617. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Where is Kevin Warren located?

Kevin Warren practices at 1520 S Dobson Rd Suite 203, Mesa, AZ 85202. The listed phone number is (480) 412-4839.

What is Kevin Warren's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kevin Warren enrolled in Medicare?

Yes. Kevin Warren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Warren accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Kevin Warren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Warren was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.