Kevin Petersen, MD
Specialist · Las Vegas, NV
Kevin Petersen, MD is a specialist with a practice address in Las Vegas, Nevada, and NPI 1205971066, issued on Feb 20, 2007. Check the license (Nevada 9665, as entered in NPPES) with the Nevada board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kevin Petersen
- Credential
- MD
- Primary taxonomy
- Specialist 174400000X
- License number
- 9665 NV
Self-reported in NPPES; status is on the state search - Practice location
- 653 N Town Center Dr, Las Vegas, NV 89144
- Phone
- (702) 256-7616
- Enumerated
- Feb 20, 2007
- Record last updated
- Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (702) 256-1481
- Entity
- Type 1 · individual
8 nearest specialist records → All 276 in Nevada → Look up another NPI →
Also registered at 653 N Town Center Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kevin Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Nevada board licenses this profession
Search for license 9665Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $273.98
1 payment: food and beverage; the largest payer was Acera Surgical, Inc. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kevin Petersen among 276 specialist records in Nevada
Kevin Petersen, MD is one of 276 specialist records with a practice address in Nevada. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 35% of them.
- NPI issued2007 · 35% of these records are older, 52% newer
- In a Medicare fileYes · 26% of these records are
- In the CMS Doctors and Clinicians fileNo · 15% of these records are
- Record last updated2007 · 70% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Nevada practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Nevada
There are 276 specialist records in Nevada.
All 276 in Nevada → Every provider in Las Vegas → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Mercedes Cruz, M.D.Las Vegas, NV 891441811944119
- Clarissa Gervasio, M.D.Las Vegas, NV 891441861459877
- Steven Leibowitz, M.D.Las Vegas, NV 891441679631014
- Marc Leitner, M.D.Las Vegas, NV 891441508803586
- Timothy Perozek, M. D.Las Vegas, NV 891441205895158
- Lisa AgnewLas Vegas, NV 891451780873802
- Joseph (joe) Cracraft, PT, PH.D.Las Vegas, NV 891431396961611
- Kori Jeffries, ATC, LATLas Vegas, NV 891451396296323
Common questions
What is Kevin Petersen, MD's NPI number?
Kevin Petersen, MD's National Provider Identifier (NPI) is 1205971066, issued on Feb 20, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Kevin Petersen, MD located?
The NPPES record lists a practice address at 653 N Town Center Dr, Las Vegas, NV, 89144. Phone: (702) 256-7616. Providers update this record themselves, so call before visiting.
How can I verify Kevin Petersen, MD's license?
NPPES lists Nevada license number 9665, as entered by the provider. Search the Nevada board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.