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DR. KEVIN CHRISTOPHER DEWALT M.D.
NPI 1790976637
General Acute Care Hospital in Mountain View, CA

Active since August 06, 2007PECOS Enrolled
108 GRANADA DR, MOUNTAIN VIEW, CA 94043(650) 796-2113 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kevin Christopher Dewalt M.d. NPPES

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

DR. KEVIN CHRISTOPHER DEWALT M.D. (NPI 1790976637) is an individual general acute care hospital provider in Mountain View, California, licensed in California (A92755) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790976637
Entity TypeIndividualMale
Primary Taxonomy282N00000X
Provider Legal NameDR. KEVIN CHRISTOPHER DEWALTCredential: M.D.
Location Address108 GRANADA DRMountain View, CA 94043-4556
Mailing Address108 Granada DrMountain View, CA 94043-4556 · (650) 796-2113
Phone(650) 796-2113
Sole ProprietorYes
Enumeration DateAugust 6, 2007
✔ NPI 1790976637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · A92755
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
108 GRANADA DR, Mountain View, CA 94043
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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. Kevin Christopher Dewalt M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Dewalt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles Auditor Controller
290 mi
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 1,939 clinicians in this Medicare group
NPI 1366453045 (661) 948-8581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dewalt's NPI number?

The NPI number for Kevin Dewalt is 1790976637. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Kevin Dewalt located?

Kevin Dewalt practices at 108 Granada Dr, Mountain View, CA 94043. The listed phone number is (650) 796-2113.

What is Kevin Dewalt's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Kevin Dewalt enrolled in Medicare?

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

Which organization bills Medicare for Kevin Dewalt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Dewalt reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Dewalt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Dewalt was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.