KELLY SIU
NPI 1104541499
Physician Assistant in Las Vegas, NV

Active since October 10, 2022PECOS EnrolledAccepts Medicare Assignment
4750 W OAKEY BLVD, LAS VEGAS, NV 89102(702) 877-5199 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2023, May 8, 2023, Oct 10, 2022 (3 updates tracked since 2022).

About Kelly Siu NPPES

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

KELLY SIU (NPI 1104541499) is an individual physician assistant in Las Vegas, Nevada and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2022).

NPPES Registry Identity

NPI1104541499
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY SIU
Location Address4750 W OAKEY BLVDLas Vegas, NV 89102-1535
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2022
Enumeration DateOctober 10, 2022
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
NPI 1104541499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4750 W OAKEY BLVD, Las Vegas, NV 89102

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

Kelly Siu 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 ID3577928043
PECOS Enrollment IDI20230505001245
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
4750 W OAKEY BLVD
LAS VEGAS, NV 89102
Family Medicine
4750 W OAKEY BLVD
LAS VEGAS, NV 89102
Registered Nurse (Diabetes Educator)
4750 W OAKEY BLVD, SUITE 4C
LAS VEGAS, NV 89102
Psychiatry & Neurology (Neurology)
4750 W OAKEY BLVD, STE 3A
LAS VEGAS, NV 89102
Nurse Practitioner (Psychiatric/Mental Health)
4750 W OAKEY BLVD
LAS VEGAS, NV 89102
Nurse Practitioner (Family)
4750 W OAKEY BLVD
LAS VEGAS, NV 89102
Podiatrist
4750 W OAKEY BLVD
LAS VEGAS, NV 89102
Internal Medicine
4750 W OAKEY BLVD
LAS VEGAS, NV 89102

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 Kelly Siu's NPI number?

The NPI number for Kelly Siu is 1104541499. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Kelly Siu located?

Kelly Siu practices at 4750 W Oakey Blvd, Las Vegas, NV 89102. The listed phone number is (702) 877-5199.

What is Kelly Siu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Siu enrolled in Medicare?

Yes. Kelly Siu 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.

When was this NPI record last updated?

The NPPES record for Kelly Siu was last updated on February 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.