Individual provider Active NPI

Kenney Vu, D.O.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1952835514
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO3247 Issued in NV
Practice address
6600 W Charleston Blvd # 142
Las Vegas, NV 89146-9001
Phone
(702) 440-8430
NPI assigned
Apr 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO3247 NV Primary

Addresses

Primary practice location

6600 W Charleston Blvd # 142
Las Vegas, NV 89146-9001

Mailing address

6600 W Charleston Blvd Ste 142
Las Vegas, NV 89146-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MI2 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
I20221003001921 NV Practitioner - Psychiatry 5991076051 Reassigns benefits to 3 organizations
I20221202002550 MI Practitioner - Psychiatry 5991076051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians
Stark Medicine McKay Khurana Jeider PLLCGroup PAC ID 1557601978, 23 clinicians
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

6600 W Charleston Blvd
Suite 142
Las Vegas, NV 89146-9001
Phone (702) 440-8430

7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700

75 Sheldon Ave SE
100 Corewell Health Medical Group West
Grand Rapids, MI 49503-4224
Phone (616) 391-6120

75 Sheldon Blvd
101 Corewell Health Medical Group West
Grand Rapids, MI 49503-4224
Phone (616) 391-2420

Hospital & facility affiliations

  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Durette MD PLLC CurrentSince Jan 3, 2023 Accepting new patients
Platinum Hospitalists LLP CurrentSince Aug 1, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 15, 2023 Accepting new patients
Lisa a Durette MD PLLC Psychiatry CurrentSince Jan 3, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 15, 2023 Accepting new patients
Platinum Hospitalists LLP Psychiatry CurrentSince Aug 1, 2023 Accepting new patients

Locations

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

10624 S Eastern Ave
Ste A995
Henderson, NV 89052

6600 W Charleston Blvd
Ste 142
Las Vegas, NV 89146
Phone (702) 440-8430

552 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 440-8440

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

6600 W Charleston Blvd
Ste 140160
Las Vegas, NV 89146

840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106

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

6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440

526 S Tonopah Dr
Ste 200
Las Vegas, NV 89106
Phone (702) 440-8430

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1952835514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD # 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469001",
            "telephone_number": "702-440-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "KENNEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO3247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.