DR. KENDALL M EGAN M.D.
NPI 1619953056
Dermatology in Las Vegas, NV

Q: What is Kendall Egan's NPI number?

The NPI number for Kendall Egan is 1619953056. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Kendall Egan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kendall Egan was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 19, 2005PECOS Enrolled

8660 SPRING MOUNTAIN RD STE 101, LAS VEGAS, NV 89117(702) 930-6441(702) 357-4283 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2026, May 4, 2023, Oct 8, 2021 and 2 more (5 updates tracked since 2016).

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About Dr. Kendall M Egan M.d. NPPES

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

DR. KENDALL M EGAN M.D. (NPI 1619953056) is an individual dermatology provider in Las Vegas, Nevada, licensed in Nevada (20422) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2003).

NPPES Registry Identity

NPI1619953056

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. KENDALL M EGANCredential: M.D.

Location Address8660 SPRING MOUNTAIN RD STE 101Las Vegas, NV 89117-4101

Mailing Address8465 W Sahara Ave, Suite 111 Pmb 473Las Vegas, NV 89117

Phone(702) 930-6441

Fax(702) 357-4283

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2003

Enumeration DateDecember 19, 2005

Last NPPES UpdateJanuary 30, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1619953056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in NV · 20422✔ Licensed in CA · A124554

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

8660 SPRING MOUNTAIN RD STE 101, Las Vegas, NV 89117

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kendall M Egan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769609254

PECOS Enrollment IDI20210916001690

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.

Medicare Billing Reassignments

Medicare enrollment records show Kendall Egan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Las Vegas Integrative Dermatology PLLC

Same address

Dermatology

8660 SPRING MOUNTAIN RD STE 101
Las Vegas, NV 89117

Reassigned Medicare billing, Nevada enrollment

NPI 1558136960 (619) 981-1444

Confermed Of California PC

225 mi

Internal Medicine

101 ACADEMY STE 100
Irvine, CA 92617

Reassigned Medicare billing, California enrollment
118 clinicians in this Medicare group

NPI 1316584709 (860) 323-0172

Csi Medical Group

238 mi

MOHS-Micrographic Surgery

1360 W 6TH ST STE 370
San Pedro, CA 90732

Reassigned Medicare billing, California enrollment
179 clinicians in this Medicare group

NPI 1871909804 (310) 519-8890

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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89117 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 6

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

AUSTIN BELLMORE M.A., CCC-SLP

Speech-Language Pathologist