DR. KENNETH OSITA EDMUNDS MD
NPI 1265466213
Internal Medicine in Las Vegas, NV

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
6210 N DURANGO DR, LAS VEGAS, NV 89149(702) 940-1540(702) 940-1541 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 18, 2022, Jul 9, 2018, Nov 14, 2017 (3 updates tracked since 2017).

About Dr. Kenneth Osita Edmunds Md NPPES

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

DR. KENNETH OSITA EDMUNDS MD (NPI 1265466213) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (16321) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1265466213
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH OSITA EDMUNDSCredential: MD
Location Address6210 N DURANGO DRLas Vegas, NV 89149-3916
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883
Fax(702) 940-1541
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
NPI 1265466213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NV · 16321 Licensed in TN · 26192 Licensed in MS · 14060
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 16321 (NV)
6210 N DURANGO DR, Las Vegas, NV 89149

Secondary Practice Location 1

Location 11000 S Rainbow BlvdLas Vegas, NV 89145 · Phone (702) 259-0088 · Fax (702) 259-9533

Other Identifiers 2

Other16321NV · Nv State License
Medicaid1265466213NV

Accepted 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

Dr. Kenneth Osita Edmunds 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 ID9537357785
PECOS Enrollment IDI20160428001373
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.
23 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89149 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.

Other Providers at the Same Location NPPES 2

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

Family Medicine
6210 N DURANGO DR
LAS VEGAS, NV 89149
Physician Assistant (Medical)
6210 N DURANGO DR
LAS VEGAS, NV 89149

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 Kenneth Edmunds's NPI number?

The NPI number for Kenneth Edmunds is 1265466213. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Kenneth Edmunds located?

Kenneth Edmunds practices at 6210 N Durango Dr, Las Vegas, NV 89149. The listed phone number is (702) 940-1540.

What is Kenneth Edmunds's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Edmunds enrolled in Medicare?

Yes. Kenneth Edmunds 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 Kenneth Edmunds accept?

Health plans from Ambetter from Arizona Complete Health list Kenneth Edmunds 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 Kenneth Edmunds was last updated on October 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.