KENNETH GLEN WYS (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1003929712
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
555 ANESTHESIOLOGY in NV
Provider Addresses for KENNETH GLEN WYS (MD)
221 S Painted Mountain Dr
Las Vegas, NV 891482722
Phone: (323) 842-3442
Type: Location
John F. Kennedy Memorial Hospital, 47111, Monroe Street, Indio, Riverside County, California, 92201, United States
INDIO, CA 922016739
Phone: (760) 347-6191
Fax: (760) 775-8017
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040211001193 | I | Anesthesiology | CA | TBD |
| I20240712003503 | I | Anesthesiology | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 37 | 28 | $0 |
Insurance plans in this area (ZIP 89148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | NY | |
| - | CA | |
| - | CA | |
| - | CA | |
| H O S P I T A L I S T | CA | |
| Infectious Disease | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Physical Therapist In Private Practice | CA | |
| Hospitalist, Internal Medicine | CA | |
| Physician Assistant | CA |
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