MR. KENNETH KWILOSZ III PA
NPI 1457802720
Physician Assistant in Scottsdale, AZ

Q: What is Kenneth Kwilosz's NPI number?

The NPI number for Kenneth Kwilosz is 1457802720. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Q: What is Kenneth Kwilosz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: Is Kenneth Kwilosz enrolled in Medicare?

No. Kenneth Kwilosz has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Kwilosz was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 20, 2016Opted out of Medicare · through Oct 1, 2026

14010 N NORTHSIGHT BLVD, SCOTTSDALE, AZ 85260(480) 443-0384 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Kenneth Kwilosz Iii Pa NPPES

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

MR. KENNETH KWILOSZ III PA (NPI 1457802720) is an individual physician assistant in Scottsdale, Arizona and active in the NPI registry since October 2016. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457802720

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. KENNETH KWILOSZ IIICredential: PA

Location Address14010 N NORTHSIGHT BLVDScottsdale, AZ 85260-3601

Mailing Address14010 North Northsight BlvdScottsdale, AZ 95260

Phone(480) 443-0384

Sole ProprietorNo

Enumeration DateOctober 20, 2016

✔ NPI 1457802720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

14010 N NORTHSIGHT BLVD, Scottsdale, AZ 85260

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mr. Kenneth Kwilosz Iii Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85260 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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 8

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

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