Individual provider Active NPI

Kaci Dudley, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1669826913
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28223 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone
(702) 383-2648
Fax
(702) 383-2627
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X A158974 CA
Diagnostic Radiology Physician 2085R0202X 28223 NV Primary
Body Imaging Physician 2085B0100X A158974 CA
Diagnostic Radiology Physician 2085R0202X A158974 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Diagnostic Radiology Physician 2085R0202X 036.178883 IL

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2386

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211004003024 CA Practitioner - Diagnostic Radiology 1951709070 Reassigns benefits to 5 organizations
I20251024003402 NV Practitioner - Diagnostic Radiology 1951709070 Reassigns benefits to 2 organizations
I20260622003446 IL Practitioner - Diagnostic Radiology 1951709070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians
Bright Light Medical Imaging SCGroup PAC ID 3678527140, 18 clinicians

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

25455 Barton Rd
Loma Linda, CA 92354-3128
Phone (909) 558-2808

25455 Barton Rd
Suite 108a
Loma Linda, CA 92354-3139
Phone (909) 558-4000

258 Castellari Dr
Las Vegas, NV 89138-4641
Phone (309) 740-4272

26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (909) 558-4000

330 E Algonquin Rd
Arlington Heights, IL 60005-5320
Phone (847) 616-2000

3936 Royal Scots Ave
Las Vegas, NV 89141-4332
Phone (309) 740-4272

900 E Washington St
Suite 200
Colton, CA 92324-4192
Phone (909) 558-4000

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158974CAMDDiagnostic Radiology Physician
036.178883ILMDDiagnostic Radiology Physician
28223NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Sierra Hematology and Oncology Medical Centers Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Sep 27, 2021 Accepting new patients
University of California San Francisco CurrentSince Sep 27, 2021 Accepting new patients
University of California SFGH Medical Group CurrentSince Oct 1, 2021 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Oct 9, 2025 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 27, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 1, 2021 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Feb 11, 2026 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 27, 2021 Accepting new patients
Beaumont Radiology Services LLC CurrentSince Dec 1, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
University Medical Center of Southern Nevada CurrentSince Oct 9, 2025 Accepting new patients
Pinnacle Medical Group, Inc. Family Medicine Past Accepting new patients
Loma Linda University Children'S Hospital Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

6555 Coyle Ave
Ste 301
Carmichael, CA 95608
Phone (916) 961-0258

7803 Madison Ave
Bldg A
Citrus Heights, CA 95610
Phone (916) 258-9188

11234 Anderson St
Ste MCB622
Loma Linda, CA 92350
Phone (949) 521-3892

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

File 54701
Los Angeles, CA 90074
Phone (909) 651-4300

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1669826913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2620",
            "fax_number": "702-383-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2648",
            "fax_number": "702-383-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "KACI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A158974",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "28223",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A158974",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A158974",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.178883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.