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KEN GERALDI
NPI 1053061762
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 25, 2022PECOS Enrolled
1701 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102(702) 660-8658 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ken Geraldi NPPES

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

KEN GERALDI (NPI 1053061762) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053061762
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEN GERALDI
Location Address1701 W CHARLESTON BLVD STE 230Las Vegas, NV 89102-2312
Mailing Address105 Rush Creek CtSan Ramon, CA 94582-5624 · (408) 628-8266
Phone(702) 660-8658
Sole ProprietorNo
Enumeration DateMarch 25, 2022
Last NPPES UpdateJuly 1, 2023
NPPES CertifiedJuly 1, 2023
✔ NPI 1053061762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1701 W CHARLESTON BLVD STE 230, Las Vegas, NV 89102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ken Geraldi 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 20

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

UNKNOWN ABBAS
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Clark County (702) 676-3650
JIAYI GE MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Clark County (702) 676-3650
YOUSEF JOSEPH DO
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Clark County (702) 676-3650
DR. THOMAS T TSAI MD
Internal Medicine
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Clark County (702) 671-2345
AMITH SUBHASH M.D.
Internal Medicine
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Clark County (702) 671-6450
LACEYAHNA MUNROE WINLAND MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Clark County (702) 676-3650
EVELYN CHRISTI KUE
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Clark County (702) 676-3650
NICOLAS FRANCESCO FIORE DO
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102
Clark County (702) 676-3650

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 Ken Geraldi's NPI number?

The NPI number for Ken Geraldi is 1053061762. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Ken Geraldi located?

Ken Geraldi practices at 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102. The listed phone number is (702) 660-8658.

What is Ken Geraldi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ken Geraldi enrolled in Medicare?

Yes. Ken Geraldi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ken Geraldi was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.