DR. KALEB WARTGOW – Family Medicine Physician, NPI 1275995946

DR. KALEB WARTGOW is a healthcare provider. based in Reno, Nevada. specializing in FAMILY PRACTICE. They hold a License No. 18533 (NV). The NPI Number for DR. KALEB WARTGOW is 1275995946

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KALEB WARTGOW
NPI
1275995946
Phone
(775) 682-8648
Address
Brighten Bldg MS 31
Enumeration Date
22 March 2016
Last Update Date
30 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7754632301
Graduation Year
2016 (10 years ago)
PAC ID
3870888092
Group Practice PAC ID
0648178533
Professional Enrollment ID
I20190429002471
Address ID
NV894472561YE213XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

992 FAMILY PRACTICE in NV

Provider Addresses for DR. KALEB WARTGOW

  • Brighten Bldg MS 31

    Reno, NV 895570169

    Phone: (775) 682-8648

    Type: Location

  • 338, The Esplanade, Island Bay, Wellington, Wellington City, Wellington, 6023, New Zealand

    WELLINGTON, NV 894449711

    Phone: (775) 465-2587

    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: 2019-04-29

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
I20190429002471IFamily PracticeNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89557)

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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: 0648178533View full group profile
NameSpecialtyState
Family Practice, HospitalistNV
Family PracticeNV
Family Practice, Emergency MedicineNV
Family PracticeNV
-NM
Nurse PractitionerNV
Nurse PractitionerNV
Orthopedic SurgeryNV
Physician AssistantNV
Physician AssistantNV

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Does DR. KALEB WARTGOW share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KALEB WARTGOW uses 1275995946.
Does CMS list DR. KALEB WARTGOW as active?
Yes — DR. KALEB WARTGOW is active in the NPI listing used on this page.
What is DR. KALEB WARTGOW's specialty?
The listing groups DR. KALEB WARTGOW with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KALEB WARTGOW on a map?
Expect Reno, Nevada as a primary anchor for DR. KALEB WARTGOW unless the record lists multiple sites.
Is the information about DR. KALEB WARTGOW up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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