Kenneth Lee Pettit, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO2065 Issued in NV

Practice address

2720 N Tenaya Way
Las Vegas, NV 89128-0424

Phone

(702) 671-1111

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

General Practice

Education

College of Osteo Med of the Pacific at Pomona, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Rajiv Siddaramu MD PLLCGroup PAC ID 9638480593, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Choice Hospice Hospice, Phoenix, AZ, CCN 031598
• Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Honorhealth Tempe Medical Center Hospital, Phoenix, AZ, CCN 030037

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.pettit@44073275686916.direct.elationemr.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Comprehensive Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1407153745

  Contracted Managing Employee

  CMS ownership

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

• Rajiv Siddaramu MD PLLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Scottsdale, AZ
  • NPI 1467849422
  Medicare reassignment Care Compare group NPD
• CH Specialty Services Az LLC

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1982303392
  Medicare reassignment NPD
• Comprehensive Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1407153745

  Family Medicine

  Medicare reassignment NPD
• Curana Health of Arizona

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1467187237
  Medicare reassignment NPD
• Kenneth L Pettit DO LLC

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1750585279
  Medicare reassignment NPD
• Mobileonedocs, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1629424379
  Medicare reassignment
• Comprehensive Wound Care

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Phoenix, AZ
  • NPI 1740489251
  NPD (past) Authorized official
• Chandler Regional Medical Center

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1871910968
  NPD (past)
• Comprehensivewound Care

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Sun City, AZ
  • NPI 1457659708
  NPD (past)
• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  NPD (past)
• Phoenix Neurological Institute, Inc

  • Neurology Physician
  • Chandler, AZ
  • NPI 1336319086
  NPD (past)

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

• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Comprehensive Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1407153745
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Tempe, AZ
  • NPI 1114744752
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1427875061
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Florence, AZ
  • NPI 1497572036
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1861219404
  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1447296298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280424",
            "telephone_number": "702-671-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 S Kyrene Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852264675",
            "country_code": "US",
            "telephone_number": "480-706-0174 x257",
            "fax_number": "480-706-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2065",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3144",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "E07166",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "AZ",
            "license": "3144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437609",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryle Ann Pettigrew, D.C.
• Imena Pettigrew
• Terrie Rena Pettigrew
• Lidia Pettis
• Diane Pettit
• Taylor Christian Pettit
• Arlee Madison Pettitt
• Shekiara Deann Pettway
• Andrea Irene Petty, PMHNP
• Bryn Petty, M.A., CCC-SLP

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.