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MR. KEVIN LAMAR REDUS PA-C
NPI 1164425633
Physician Assistant - Surgical in Wickenburg, AZ

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
520 ROSE LN, WICKENBURG, AZ 85390(928) 684-5421(289) 684-7457 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2024, Aug 5, 2022, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Mr. Kevin Lamar Redus Pa-c NPPES

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

MR. KEVIN LAMAR REDUS PA-C (NPI 1164425633) is an individual surgical provider in Wickenburg, Arizona, licensed in Arizona (2477) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wickenburg, and is a graduate of University Of Nebraska College Of Medicine (2006).

NPPES Registry Identity

NPI1164425633
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KEVIN LAMAR REDUSCredential: PA-C
Location Address520 ROSE LNWickenburg, AZ 85390-1447
Mailing Address3811 E Bell Rd Ste 309Phoenix, AZ 85032-2160 · (480) 420-0749 · Fax (480) 420-0732
Phone(928) 684-5421
Fax(289) 684-7457
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2006
Enumeration DateMay 27, 2005
Last NPPES UpdateApril 26, 20244 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1164425633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · 2477
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2477 (AZ)
520 ROSE LN, Wickenburg, AZ 85390
Open in Google Maps ↗

Secondary Practice Location 1

Location 1523 Rose LnWickenburg, AZ 85390-1448 · Phone (928) 668-1803 · Fax (928) 684-2434

Other Identifiers 3

OtherAZ0146700AZ · Blue Cross Blue Shield Az
Medicaid577786001AZ
Medicaid577786AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Mr. Kevin Lamar Redus Pa-c 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 ID8628961091
PECOS Enrollment IDI20040209000098
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.

MIKAILA RENAE CARAVEO RUIZ PTA
Physical Therapy Assistant
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 684-5529
MS. WENDY THOMAS DPT
Physical Therapist
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 648-5421
KIRBY FARNSWORTH D.O.
Emergency Medicine
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 668-1803
DR. ROBERT CAMERON RIPLEY M.D.
Surgery
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 684-5421
DR. DENNIS A BARRACO DO
Emergency Medicine
520 ROSE LN, WICKENBURG REGIONAL MED CENTER
WICKENBURG, AZ 85390
Maricopa County (928) 684-5421
ICORE RADIOLOGY INC
Clinic/Center (Radiology)
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 684-5421
ANU HOSPITALIST PLLC
Internal Medicine
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (702) 453-3799
MRS. MAUREEN ELISE SERRANO R.D.
Dietitian, Registered
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 684-5421

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 Redus's NPI number?

The NPI number for Kevin Redus is 1164425633. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Kevin Redus located?

Kevin Redus practices at 520 Rose Ln, Wickenburg, AZ 85390. The listed phone number is (928) 684-5421.

What is Kevin Redus's specialty?

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

Is Kevin Redus enrolled in Medicare?

Yes. Kevin Redus 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 Redus accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and UnitedHealthcare list Kevin Redus 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 Redus was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.