MR. DAVID THOMAS KWIATKOWSKI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083696900

MR. DAVID THOMAS KWIATKOWSKI (CRNA) is a healthcare provider. based in Las vegas, Nevada. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2436 (CA). The NPI Number for MR. DAVID THOMAS KWIATKOWSKI (CRNA) is 1083696900

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID THOMAS KWIATKOWSKI (CRNA)
NPI
1083696900
Phone
(702) 644-2124
Address
6008 RIDGECARN AVE
Enumeration Date
16 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075632662
Graduation Year
1997 (29 years ago)
PAC ID
3072731355
Group Practice PAC ID
6709780265
Professional Enrollment ID
I20140828000570
Address ID
AK995085926AN4315XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

194 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NV

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Provider Addresses for MR. DAVID THOMAS KWIATKOWSKI (CRNA)

  • 6008, Ridgecarn Avenue, North Cheyenne, Las Vegas, Clark County, Nevada, 89130, United States

    LAS VEGAS, NV 891301373

    Phone: (702) 644-2124

    Mailing address matches the actual address.

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: 2014-08-28

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
I20140828000570ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
00142Anesthesia for lens surgery1111$0
View full utilization report →

Insurance plans in this area (ZIP 89130)

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Provider's Procedures

MR. DAVID THOMAS KWIATKOWSKI (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETNV00142Anesthesia for lens surgery1414

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: 6709780265View full group profile
NameSpecialtyState
Family PracticeAK
-AK
Internal MedicineNY
-AK
Diagnostic RadiologyNC
Nurse PractitionerAK
Family PracticeAK
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YWA
Certified Nurse Midwife (Cnm)AK

Reviews

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Frequently asked questions

What number should I use to identify MR. DAVID THOMAS KWIATKOWSKI (CRNA) for billing?
Administrative and clinical systems typically use NPI 1083696900 for MR. DAVID THOMAS KWIATKOWSKI (CRNA).
Does the public listing show MR. DAVID THOMAS KWIATKOWSKI (CRNA) as active?
MR. DAVID THOMAS KWIATKOWSKI (CRNA)'s NPI record reflects an active status in NPPES.
What services align with MR. DAVID THOMAS KWIATKOWSKI (CRNA)'s listing?
MR. DAVID THOMAS KWIATKOWSKI (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. DAVID THOMAS KWIATKOWSKI (CRNA)?
The directory associates MR. DAVID THOMAS KWIATKOWSKI (CRNA) with Las Vegas, Nevada. Check all listed addresses for suites or satellite offices.
Who maintains MR. DAVID THOMAS KWIATKOWSKI (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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