1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Pain Medicine
  6. NPI Profile

WALTER M KIDWELL MD
NPI 1215977038
Pain Medicine - Interventional Pain Medicine in Las Vegas, NV

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
7435 W AZURE DR STE 190, LAS VEGAS, NV 89130(702) 788-5252(702) 878-9096 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1986).

NPPES Registry Identity

NPI1215977038
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameWALTER M KIDWELLCredential: MD
Location Address7435 W AZURE DR STE 190Las Vegas, NV 89130-4427
Mailing Address4045 S Buffalo Dr, A101-172Las Vegas, NV 89147-7479 · (702) 878-8252 · Fax (702) 878-9096
Phone(702) 788-5252
Fax(702) 878-9096
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1986
Enumeration DateJune 8, 2006
Last NPPES UpdateJune 12, 2019
✔ NPI 1215977038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NV · 9263
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
7435 W AZURE DR STE 190, Las Vegas, NV 89130
Open in Google Maps ↗

Other Identifiers 2

Other100791NV · Group
Other33452NV · Medicare Original

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

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.

PECOS PAC ID1052208741
PECOS Enrollment IDI20070726000865
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.

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.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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.