KEVIN BURNINGHAM (MD) – Student in an Organized Health Care Education/Training Program, NPI 1548910227

KEVIN BURNINGHAM (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. U5361 (TX). The NPI Number for KEVIN BURNINGHAM (MD) is 1548910227

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN BURNINGHAM (MD)
NPI
1548910227
Phone
(702) 660-8658
Address
1701 W CHARLESTON BLVD STE 230
Enumeration Date
25 March 2022
Last Update Date
5 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9569710404
Graduation Year
2022 (4 years ago)
PAC ID
8426434697
Group Practice PAC ID
5890703508
Professional Enrollment ID
I20240724002444
Address ID
TX785046464MC3100XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

91 DERMATOLOGY in NV

Provider Addresses for KEVIN BURNINGHAM (MD)

  • 1701 W CHARLESTON BLVD STE 230

    LAS VEGAS, NV 891022312

    Phone: (702) 660-8658

    Fax: (702) 676-3635

    Type: Mailing

  • 3100 BUDDY OWENS BLVD

    MCALLEN, TX 78504

    Phone: (956) 971-0404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $576.

Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: GENZYME CORPORATION ($138).

Total Amount

$576

General + Research + Ownership

Payments

11

Total payment records

General Amount

$576

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2024-07-24

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
I20240724002444IDermatologyTXTBD

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 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: 5890703508View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YTX
-TX
Infectious Disease, Dermatology, Internal MedicineAZ
D E R M A T O L O G YPR
Physician AssistantTX
D E R M A T O L O G YTX
Physician AssistantTX
Physician AssistantTX
D E R M A T O L O G YWV

Reviews

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Frequently asked questions

What is the standard ID for KEVIN BURNINGHAM (MD) in the U.S.?
In the U.S., KEVIN BURNINGHAM (MD) is identified by NPI 1548910227.
Does the public listing show KEVIN BURNINGHAM (MD) as active?
KEVIN BURNINGHAM (MD)'s NPI record reflects an active status in NPPES.
What type of care does KEVIN BURNINGHAM (MD) provide?
KEVIN BURNINGHAM (MD)'s profile centers on Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN BURNINGHAM (MD)?
KEVIN BURNINGHAM (MD) shows a connection to Las Vegas, Nevada in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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