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KELLY ROBERT GARDNER M.D. NPI 1255319463


NPI Information

NPI: 1255319463
Provider Name: KELLY ROBERT GARDNER, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
3061 S MARYLAND PKWY
SUITE 102
LAS VEGAS, NV
ZIP 89109
Phone: (702) 731-2888
Get Directions

Kelly Robert Gardner, M.D. is a vascular and interventional radiology radiology in Las Vegas, NV with 39 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Kelly Robert Gardner, M.D. NPI is 1255319463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

3061 S MARYLAND PKWY
SUITE 102
LAS VEGAS, NV
ZIP 89109-298
Phone: (702) 731-2888
Fax: (702) 696-9289

The NPI 1255319463 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Mammography of both breasts (HCPCS:77067)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan chest (HCPCS:71250)
  • Ct scan of face (HCPCS:70486)

The enumeration date for this NPI number is 1/6/2006 and was last updated on 12/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional Radiology6324NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200290213MEDICAIDNEVADA
230WCCBF1QMEDICARE PINNEVADA
3E84941MEDICARE UPIN
4NV1309OTHERNEVADABLUE
5300061559MEDICARE UPINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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