NPIMap

Individual provider Active NPI

Kevin M Dunsmoor, DO

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1992963664
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO1410 Issued in NV
Practice address
7010 Smoke Ranch Rd Ste 100
Las Vegas, NV 89128-8399
Phone
(702) 228-7054
Fax
(702) 381-9418
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO1410 NV Primary

Addresses

Primary practice location

7010 Smoke Ranch Rd Ste 100
Las Vegas, NV 89128-8399

Mailing address

7010 Smoke Ranch Rd Ste 100
Las Vegas, NV 89128-8399
Phone (702) 228-7054

Other identifiers 2

IdentifierTypeStateIssuer
V24262OtherNVLAB
VWCGZTOtherNVMEDICARE GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kevin.dunsmoor@mountainviewprimarycare.direct.allegiancemd.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000098 NV Practitioner - Internal Medicine 3375603319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KDMD, LLCGroup PAC ID 5395126692, 2 clinicians

Practice addresses (Care Compare)

7010 Smoke Ranch Rd
Suite 100
Las Vegas, NV 89128-8399
Phone (702) 228-7054

Hospital & facility affiliations

  • Dynamic Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297096
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1410NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neurosurgery(Glickman) PLLC CurrentSince Sep 1, 2021 Accepting new patients
KDMD, LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Copeland - Beajow Medical Institute, CHTD Internal Medicine Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Internal Medicine Associates Laboratory Past Accepting new patients

Locations

7010 Smoke Ranch Rd
Ste 100
Las Vegas, NV 89128
Phone (702) 228-7054

6850 N Durango Dr
Ste 301
Las Vegas, NV 89149
Phone (702) 292-8242

Interoperability endpoints

  • Direct secure messaging: kevin.dunsmoor@mountainviewprimarycare.direct.allegiancemd.com

Organizations & group practices 9

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 2

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1992963664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 SMOKE RANCH RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288399",
            "telephone_number": "702-228-7054",
            "fax_number": "702-381-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 SMOKE RANCH RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288399",
            "telephone_number": "702-228-7054",
            "fax_number": "702-381-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSMOOR",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB",
            "identifier": "V24262",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "VWCGZT",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevin.dunsmoor@mountainviewprimarycare.direct.allegiancemd.com",
            "affiliation": "N",
            "address_1": "7010 Smoke Ranch Rd Ste 100",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891288399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.