KYLE RICHARDSON (MD) – Anesthesiology Physician, NPI 1043713878

KYLE RICHARDSON (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 67306 (AZ). The NPI Number for KYLE RICHARDSON (MD) is 1043713878

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KYLE RICHARDSON (MD)
NPI
1043713878
Phone
(702) 962-9546
Address
3100 N TENAYA WAY
Enumeration Date
18 March 2018
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9286341331
Graduation Year
2018 (8 years ago)
PAC ID
2860740180
Group Practice PAC ID
3577473362
Professional Enrollment ID
I20220830000182
Address ID
AZ863264158CO269XXLNXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

555 ANESTHESIOLOGY in NV

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Provider Addresses for KYLE RICHARDSON (MD)

  • MountainView Hospital, 3100, North Tenaya Way, Las Vegas, Clark County, Nevada, 89128, United States

    LAS VEGAS, NV 891280436

    Phone: (702) 962-9546

    Type: Location

  • 1200 N BEAVER ST

    FLAGSTAFF, AZ 860013118

    Phone: (928) 779-3366

    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: 2022-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220830000182IAnesthesiologyAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00670Anesthesia for extensive surgery on spine1818$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1413$0
00790Anesthesia for other procedure on upper abdomen1212$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1111$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1111$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577473362View full group profile
NameSpecialtyState
H O S P I T A L I S TAZ
Physician AssistantCA
H O S P I T A L I S TAZ
Certified Registered Nurse Anesthetist (Crna)AZ
Physician AssistantAZ
Nurse PractitionerAZ
Physician AssistantAZ
Family PracticeAZ
Physician AssistantCA
Hospitalist, Internal MedicineTN

Reviews

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Frequently asked questions

How is KYLE RICHARDSON (MD) identified in CMS data?
CMS-hosted NPPES data lists KYLE RICHARDSON (MD) with NPI 1043713878.
Can I rely on KYLE RICHARDSON (MD) being an active provider?
As of the registry snapshot, KYLE RICHARDSON (MD) is marked active.
What taxonomy line describes KYLE RICHARDSON (MD)?
For research purposes, treat KYLE RICHARDSON (MD) as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KYLE RICHARDSON (MD) list a practice location?
Patients near Las Vegas, Nevada may find KYLE RICHARDSON (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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