KEITH A BERRY (M.D.) – Surgery Physician, NPI 1528274842

KEITH A BERRY (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MED-PHYS-LIC-51952 (MT). The NPI Number for KEITH A BERRY (M.D.) is 1528274842

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
KEITH A BERRY (M.D.)
NPI
1528274842
Phone
(702) 671-5150
Address
3016 W CHARLESTON BLVD STE 100
Enumeration Date
15 May 2007
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
3678879558
Group Practice PAC ID
4183991458
Professional Enrollment ID
I20200427001877
Address ID
NV891022352LA1707XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

309 GENERAL SURGERY in NV

Provider Addresses for KEITH A BERRY (M.D.)

  • 3016 W CHARLESTON BLVD STE 100

    LAS VEGAS, NV 891021973

    Phone: (702) 671-5150

    Type: Mailing

  • 1707 W CHARLESTON BLVD STE 160

    LAS VEGAS, NV 891022354

    Phone: (702) 671-5150

    Type: Location

  • Mike O'Callaghan Military Medical Center, 4700, Las Vegas Boulevard North, Clark County, Nevada, 89191, United States

    NELLIS AFB, NV 891916600

    Phone: (702) 652-1100

    Type: Mailing

  • 1707 W Charleston Blvd Ste 160

    Las Vegas, NV 891022354

    Phone: (702) 671-5150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Medtronic, Inc. ($64).

Total Amount

$81

General + Research + Ownership

Payments

2

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-04-27

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
I20200427001877IGeneral SurgeryNVTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3225$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 89102)

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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: 4183991458View full group profile

Reviews

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Frequently asked questions

What is KEITH A BERRY (M.D.)'s NPI number?
KEITH A BERRY (M.D.)'s NPI is 1528274842 — the number used across U.S. healthcare to identify this provider.
Is KEITH A BERRY (M.D.) still an active registrant?
KEITH A BERRY (M.D.) carries an active NPI according to the public dataset.
How would a patient describe KEITH A BERRY (M.D.)'s focus?
For KEITH A BERRY (M.D.), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Is KEITH A BERRY (M.D.) associated with Las Vegas?
Public fields place KEITH A BERRY (M.D.) around Las Vegas, Nevada. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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