KELLY ROBERT GARDNER M.D. NPI 1255319463

NPI Information

  • NPI: 1255319463
  • Provider Name: KELLY ROBERT GARDNER, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3061 S MARYLAND PKWY
    SUITE 102
    LAS VEGAS, NV
    ZIP 89109
  • Phone: (702) 731-2888

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NPI Details

Kelly Robert Gardner, M.D. is a vascular and interventional radiology radiology in Las Vegas, NV with 41 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)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Insertion of vena cava filter with review by radiologist (HCPCS:37191)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Screening mammography (HCPCS:77067)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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