DR. KEVIN DONALD BUCKLEY MD
NPI 1568566008
Emergency Medicine - Pediatric Emergency Medicine in San Diego, CA

Q: What is Kevin Buckley's NPI number?

The NPI number for Kevin Buckley is 1568566008. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Q: What is Kevin Buckley's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Buckley was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 12, 2006PECOS Enrolled

3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-8800 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kevin Donald Buckley Md NPPES

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

DR. KEVIN DONALD BUCKLEY MD (NPI 1568566008) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (G87482) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568566008

Entity TypeIndividualMale

Primary Taxonomy207PP0204X

Provider Legal NameDR. KEVIN DONALD BUCKLEYCredential: MD

Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300

Phone(858) 966-8800

Sole ProprietorNo

Enumeration DateSeptember 12, 2006

Last NPPES UpdateAugust 14, 2025

NPPES CertifiedAugust 14, 2025

✔ NPI 1568566008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PP0204X

License✔ Licensed in CA · G87482

Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Also ListedEmergency MedicineTaxonomy 207P00000X · License G87482 (CA)

3020 CHILDRENS WAY, San Diego, CA 92123

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Other Identifiers 2

Medicaid00G874820CA

Other00G874820851CA · Cal Optima

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. Kevin Donald Buckley Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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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.

DR. NATALIE E. ELLINGTON MD

Pathology (Pediatric Pathology)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-5944

SHANNA MICHAEL MILLER-NABAS RDN

Physician Assistant

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 576-1700

DR. ADRIANA HERRERA TREMOULET M.D.

Pediatrics (Pediatric Infectious Diseases)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-7785

LORI MCCURDY M.S., CCC-SLP

Speech-Language Pathologist

3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123

San Diego County (858) 968-5838

MS. ANN M SUMIDA-JOHNSON M.A..

Audiologist

3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123

San Diego County (858) 966-5838

RICHARD JOHN NEWTON M.D.

Pediatrics

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8036

DR. SHAHFAR KHAN M.D.

Pediatrics (Pediatric Emergency Medicine)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

CARLY BETH WELCH CPNP-AC

Nurse Practitioner (Pediatrics)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

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 Kevin Buckley's NPI number?

The NPI number for Kevin Buckley is 1568566008. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Kevin Buckley located?

Kevin Buckley practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.

What is Kevin Buckley's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Kevin Buckley enrolled in Medicare?

Yes. Kevin Buckley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Buckley was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.