Individual provider Active NPI

Kenneth W Adams II, M.D.

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1376868208
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15464 Issued in NV
Practice address
3215 W Charleston Blvd Ste 110
Las Vegas, NV 89102-2182
Phone
(702) 462-2232
Fax
(702) 935-7624
NPI assigned
Apr 4, 2010
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15464 NV Primary

Addresses

Primary practice location

3215 W Charleston Blvd Ste 110
Las Vegas, NV 89102-2182

Mailing address

2380 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-5078
Phone (702) 823-4255

Other practice location 1

1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120
Phone (702) 657-5512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140829000880 NV Practitioner - Emergency Medicine 1254559412 Reassigns benefits to 3 organizations
I20260218004118 AZ Practitioner - Emergency Medicine 1254559412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8585

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15464NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Yuma Hospital PLLC Emergency Medicine CurrentSince Jan 11, 2026 Accepting new patients
Superior Emergency Physicians Harris, PLLC Emergency Medicine CurrentSince Dec 12, 2016 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jan 31, 2023 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Jan 11, 2026 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Jan 11, 2026 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Jan 11, 2026 Accepting new patients
Exceptional Physicians Group Eloy Hospital PLLC Emergency Medicine CurrentSince Jan 11, 2026 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

340 E Milligan Rd
Eloy, AZ 85131
Phone (436) 341-7800

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

9860 W Skye Cyn Dr
Las Vegas, NV 89166

1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1376868208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525078",
            "telephone_number": "702-823-4255",
            "fax_number": "702-475-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 W CHARLESTON BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022182",
            "telephone_number": "702-462-2232",
            "fax_number": "702-935-7624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 E Lake Mead Blvd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890307120",
            "country_code": "US",
            "telephone_number": "702-657-5512",
            "fax_number": "702-649-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KENNETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-04",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "15464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.