WALTER M KIDWELL MD
NPI 1215977038
Pain Medicine - Interventional Pain Medicine in Las Vegas, NV
About Walter M Kidwell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER M KIDWELL MD (NPI 1215977038) is an individual interventional pain medicine provider in Las Vegas, Nevada, licensed in Nevada (9263) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1986).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Walter M Kidwell Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Walter Kidwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cedar City, UT 84720
- Reassigned Medicare billing, Utah enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Walter Kidwell's NPI number?
The NPI number for Walter Kidwell is 1215977038. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is Walter Kidwell located?
Walter Kidwell practices at 7435 W Azure Dr Ste 190, Las Vegas, NV 89130. The listed phone number is (702) 788-5252.
What is Walter Kidwell's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Walter Kidwell enrolled in Medicare?
Yes. Walter Kidwell 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.
Which organization bills Medicare for Walter Kidwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Walter Kidwell reassigns Medicare benefits to Cedar Anesthesia Group LLP (Cedar City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Walter Kidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Walter Kidwell was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Walter M Kidwell, MD · NPI 1215977038
Interventional Pain Medicine physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1215977038 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **State license:** 9263 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 7435 W AZURE DR STE 190, Las Vegas, NV 89130-4427
- **Phone:** (702) 788-5252 · **Fax:** (702) 878-9096
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cedar Anesthesia Group LLP (NPI 1821176132, Cedar City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 1986
## Record status
- **NPPES last updated:** June 12, 2019
- **Other identifiers:** Other 100791 (NV); Other 33452 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1215977038) · Data from the CMS NPPES public registry.