Kevin Ray Buckwalter, MD
NPI 1003813478ActiveIndividual· General Practice· Las Vegas, NV
General Practice (MD) in Las Vegas, Nevada, licensed in NV and CA, with an NPI issued in June 2005. Enrolled in Medicare as practitioner - family practice.
Overview
| NPI | 1003813478 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 30, 2005 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 8476 | NV |
| Family Medicine | 207Q00000X | A63401 | CA |
| Surgery | 208600000X | A63401 | CA |
| General Practice | 208D00000X | A63401 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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