DR. KENNETH LEE PETTIT DO
NPI 1447296298
Family Medicine in Las Vegas, NV
About Dr. Kenneth Lee Pettit Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH LEE PETTIT DO (NPI 1447296298) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (DO2065) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chandler, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1997).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kenneth Lee Pettit Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Kenneth Pettit reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- 15 clinicians in this Medicare group
Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- 608 clinicians in this Medicare group
Surprise, AZ 85379
- Reassigned Medicare billing, Arizona enrollment
- 60 clinicians in this Medicare group
Surprise, AZ 85379
- Reassigned Medicare billing, Arizona enrollment
- 68 clinicians in this Medicare group
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
Scottsdale, AZ 85260
- Reassigned Medicare billing, Arizona enrollment
- 38 clinicians in this Medicare group
Scottsdale, AZ 85258
- Reassigned Medicare billing, Arizona enrollment
- 9 clinicians in this Medicare group
Chandler, AZ 85226
- Reassigned Medicare billing, Arizona enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 21
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Pettit's NPI number?
The NPI number for Kenneth Pettit is 1447296298. It was assigned to this individual provider in the NPPES registry on June 21, 2006.
Where is Kenneth Pettit located?
Kenneth Pettit practices at 2720 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 671-1111.
What is Kenneth Pettit's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kenneth Pettit enrolled in Medicare?
Yes. Kenneth Pettit is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenneth Pettit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Pettit reassigns Medicare benefits to 8 organizations: Family Home Hospice, Inc. (Las Vegas, NV), Optum Medical Group II Rhodes P C (Las Vegas, NV), Ch Specialty Services Az LLC (Surprise, AZ), Curana Health Of Arizona (Surprise, AZ), Comprehensive Hospice And Palliative Care, LLC (Phoenix, AZ) and 3 more organizations, listed in the Medicare section above. Each 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 Kenneth Pettit'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 Kenneth Pettit was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.