Active NPI
Kevin Lee Snoddy, PA-C
- Physician Assistant
- Henderson, NV
National Provider Identifier
1902129794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1206
- Practice address
- 2310 Corporate Cir Ste 200
Henderson, NV 89074-7729 - Phone
- (702) 735-8000
- Fax
- (775) 727-5696
- NPI assigned
- Mar 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1206 | NV | Primary |
Addresses
Primary practice location
2310 Corporate Cir Ste 200
Henderson, NV 89074-7729
Mailing address
7150 W Sunset Rd Ste 200
Las Vegas, NV 89113-1982
Phone (702) 385-4342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902129894 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2310 Corporate Cir
Suite 200
Henderson, NV 89074-7729
Phone (702) 735-8000
7150 W Sunset Rd
Las Vegas, NV 89113-1982
Hospital & facility affiliations
- Valley View Medical Center
- Kingman Regional Medical Center
- Western Arizona Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.26 of 100
- Quality
- 90.39
- Improvement activities
- 40
- Cost
- 78.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1206 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Past | Accepting new patients | |
| Desert View Family Medical Center | Past | Accepting new patients |
Interoperability endpoints
- kevinsnoddy@lvu.medalliesdirect.net
Organizations & group practices 3
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.
-
- Urology Physician
- Las Vegas, NV
- NPI 1629054994
-
- Family Medicine Physician
- Pahrump, NV
- NPI 1407915911
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
-
- Urgent Care Clinic/Center
- Bullhead City, AZ
- NPI 1780996223
Hospital
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- General Acute Care Hospital
- Fort Mohave, AZ
- NPI 1811086994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1902129794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 W SUNSET RD STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891131982",
"telephone_number": "702-385-4342",
"fax_number": "702-385-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 CORPORATE CIR STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747729",
"telephone_number": "702-735-8000",
"fax_number": "775-727-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNODDY",
"first_name": "KEVIN",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-08",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902129894",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.