Kelly Robert Gardner, MD - Medicare Diagnostic Radiology in Las Vegas, NV

Kelly Robert Gardner, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Las Vegas, Nevada. He went to Tulane University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Specialists Ltd Marasso-miller and his current practice location is 3061 S Maryland Pkwy, Suite 102, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 731-2888.

Kelly Robert Gardner is licensed to practice in Nevada (license number 6324) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255319463.

Contact Information

Kelly Robert Gardner, MD
3061 S Maryland Pkwy, Suite 102,
Las Vegas, NV 89109-2298
(702) 731-2888
(702) 696-9289

Map and Direction




Physician's Profile

Full NameKelly Robert Gardner
GenderMale
SpecialityDiagnostic Radiology
Experience39 Years
Location3061 S Maryland Pkwy, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Robert Gardner attended and graduated from Tulane University School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1255319463
  • Provider Enumeration Date: 01/06/2006
  • Last Update Date: 12/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1759306962
  • Enrollment ID: I20051006000873

Medical Identifiers

Medical identifiers for Kelly Robert Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255319463NPI-NPPES
200290213MedicaidNV
NV1309OtherNVBLUE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 6324 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sunrise Hospital And Medical CenterLas vegas, NVHospital
Mountainview HospitalLas vegas, NVHospital
Southern Hills Hospital And Medical CenterLas vegas, NVHospital
Western Arizona Regional Medical CenterBullhead city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Specialists Ltd Marasso-miller014311087454

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Robert Gardner allows following entities to bill medicare on his behalf.
Entity NameRadiology Specialists Ltd Marasso-miller
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437196979
PECOS PAC ID: 0143110874
Enrollment ID: O20040317000680

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Robert Gardner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Robert Gardner, MD
1 Independence Pt Ste 202,
Greenville, SC 29615-4536

Ph: (877) 406-2916
Kelly Robert Gardner, MD
3061 S Maryland Pkwy, Suite 102,
Las Vegas, NV 89109-2298

Ph: (702) 731-2888

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.