DR. KENNETH JARVIS DPM
NPI 1497758197
Podiatrist in Las Vegas, NV

Active since May 27, 2005PECOS Enrolled
1200 S 4TH ST STE 111, LAS VEGAS, NV 89104(702) 810-1748(702) 837-8292 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 17, 2017 (2 updates tracked since 2017).

About Dr. Kenneth Jarvis Dpm NPPES

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

DR. KENNETH JARVIS DPM (NPI 1497758197) is an individual podiatrist in Las Vegas, Nevada, licensed in Nevada (0108) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1497758197
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. KENNETH JARVISCredential: DPM
Location Address1200 S 4TH ST STE 111Las Vegas, NV 89104-1046
Mailing Address4333 Oasis Valley AveNorth Las Vegas, NV 89085-2335 · (702) 810-1748 · Fax (702) 837-8292
Fax(702) 837-8292
Sole ProprietorYes
Enumeration DateMay 27, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1497758197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NV · 0108
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1200 S 4TH ST STE 111, Las Vegas, NV 89104

Secondary Practice Location 1

Location 17350 W Cheyenne Ave, Ste 110Las Vegas, NV 89129-7445 · Phone (702) 228-5018 · Fax (702) 642-6775

Other Identifiers 2

Medicaid100501920NV
OtherP00138284OH · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenneth Jarvis Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
140 services131 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
140 services130 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89104 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 7

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

Registered Nurse
1200 S 4TH ST STE 111
LAS VEGAS, NV 89104
Nurse Practitioner (Community Health)
1200 S 4TH ST STE 111
LAS VEGAS, NV 89104
Internal Medicine (Infectious Disease)
1200 S 4TH ST STE 111
LAS VEGAS, NV 89104
Nurse Practitioner (Family)
1200 S 4TH ST STE 111
LAS VEGAS, NV 89104
Clinic/Center (Mental Health (Including Community Mental Health Center))
1200 S 4TH ST STE 111
LAS VEGAS, NV 89104
Clinic/Center (Multi-Specialty)
1200 S 4TH ST STE 111
LAS VEGAS, NV 89104
Nurse Practitioner
1200 S 4TH ST STE 111
LAS VEGAS, NV 89104

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 Jarvis's NPI number?

The NPI number for Kenneth Jarvis is 1497758197. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Kenneth Jarvis located?

Kenneth Jarvis practices at 1200 S 4th St Ste 111, Las Vegas, NV 89104. The listed phone number is (702) 810-1748.

What is Kenneth Jarvis's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kenneth Jarvis enrolled in Medicare?

Yes. Kenneth Jarvis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Jarvis was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.