DR. KENNETH ERVINE FATKIN (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1922238195
Primary Podiatric Medicine Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 PODIATRY in NV
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Provider Addresses for DR. KENNETH ERVINE FATKIN (DPM)
West Warm Springs Road, Green Valley North, Green Valley, Henderson, Clark County, Nevada, 89120, United States
HENDERSON, NV 890147632
Phone: (702) 435-7987
Fax: (702) 435-7616
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.
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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: 2011-01-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110107000320 | I | Podiatry | NV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 632 | 174 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 477 | 131 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 471 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 350 | 165 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 315 | 102 | $0 |
Insurance plans in this area (ZIP 89014)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | NV | |
| Cardiovascular Disease (Cardiology) | NV | |
| - | CA | |
| - | NV | |
| - | NV |
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