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KENNETH WISE MD
NPI 1447833298
Anesthesiology in Twentynine Palms, CA

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment
1145 STURGIS STREET, TWENTYNINE PALMS, CA 92278(410) 707-6293 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Aug 17, 2023, Apr 29, 2021 (3 updates tracked since 2021).

About Kenneth Wise Md NPPES

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

KENNETH WISE MD (NPI 1447833298) is an individual anesthesiology provider in Twentynine Palms, California, licensed in California (A203427) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2021).

NPPES Registry Identity

NPI1447833298
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameKENNETH WISECredential: MD
Location Address1145 STURGIS STREETTwentynine Palms, CA 92278
Mailing Address1145 Sturgis StreetTwentynine Palms, CA 92277
Phone(410) 707-6293
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2021
Enumeration DateApril 29, 2021
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1447833298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A203427
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101275874 (VA)
1145 STURGIS STREET, Twentynine Palms, CA 92278
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Secondary Practice Location 1

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3221 · Phone (760) 340-3911 · Fax (760) 837-8876

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

Kenneth Wise 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 ID7517453608
PECOS Enrollment IDI20251227000516
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 5

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

MARIA T SHELDRAKE O.D.
Optometrist
1145 STURGIS STREET, NAVAL HOSPITAL
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2128
MR. DARRYL BIEN SOL FNP-C
Nurse Practitioner (Family)
1145 STURGIS STREET
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2200
MR. FELIZARDO BACARO TRIA IDC
Military Health Care Provider (Independent Duty Corpsman)
1145 STURGIS STREET, NAVAL HOSPITAL
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2621
DR. SHELLEY DENISE HOLMES PHARMD
Pharmacist
1145 STURGIS STREET, ROBERT BUSH NAVAL HOSPITAL, PHARMACY DEPARTMENT
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2145
RAOUL ARCHAMBAULT IV PHARMD
Pharmacist
1145 STURGIS STREET, NAVAL HOSPITAL (ATTN PROFESSIONAL AFFAIRS)
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2135

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 Wise's NPI number?

The NPI number for Kenneth Wise is 1447833298. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Kenneth Wise located?

Kenneth Wise practices at 1145 Sturgis Street, Twentynine Palms, CA 92278. The listed phone number is (410) 707-6293.

What is Kenneth Wise's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kenneth Wise enrolled in Medicare?

Yes. Kenneth Wise 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 Kenneth Wise was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.