Kaci Dudley, MD in Las Vegas, NV - Medicare Diagnostic Radiology

Kaci Dudley, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Las Vegas, Nevada. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 1800 W Charleston Blvd, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 383-2648.

Kaci Dudley is licensed to practice in Nevada (license number 28223) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669826913.

Contact Information

	Kaci Dudley, MD
	1800 W Charleston Blvd, Las Vegas, NV 89102-2386
	(702) 383-2648
	(702) 383-2627

Map and Direction

Physician's Profile

Full Name	Kaci Dudley
Gender	Female
Speciality	Diagnostic Radiology
Experience	11 Years
Location	1800 W Charleston Blvd, Las Vegas, Nevada
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kaci Dudley graduated from medical school in 2014

NPI Data:

NPI Number: 1669826913
Provider Enumeration Date: 04/22/2016
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 1951709070
Enrollment ID: I20211004003024

Medical Identifiers

Medical identifiers for Kaci Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669826913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085U0001X	Radiology - Diagnostic Ultrasound	A158974 (California)	Secondary
2085B0100X	Radiology - Body Imaging	A158974 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	28223 (Nevada)	Primary
2085R0202X	Radiology - Diagnostic Radiology	A158974 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital
Loma Linda University Medical Center-murrieta	Murrieta, CA	Hospital
Keck Hospital Of Usc	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1153

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. Kaci Dudley allows following entities to bill medicare on her behalf.

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063487122 PECOS PAC ID: 5496668410 Enrollment ID: O20031106000503

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Kaci Dudley 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 Address	Practice Location Address
Kaci Dudley, MD 1800 W Charleston Blvd, Las Vegas, NV 89102-2386 Ph: (702) 383-2620	Kaci Dudley, MD 1800 W Charleston Blvd, Las Vegas, NV 89102-2386 Ph: (702) 383-2648

Reviews and Comments

Radiology Doctors in Las Vegas, NV

Dr. Douglas Glen Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Palomino Ln, #100, Las Vegas, NV 89106 Phone: 702-759-8600
Saravanan Valliappan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118 Phone: 702-477-0772
Young Suk Song, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000
Ho Viet Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-240-1215 Fax: 702-243-7531
Yuanlong Zhao, MD Radiology Medicare: Medicare Enrolled Practice Location: 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 Phone: 404-915-2966
Amir Kilani, DO Radiology Medicare: Medicare Enrolled Practice Location: 3100 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-962-5000
Gorden Chu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-732-6000 Fax: 702-243-7531

Kaci Dudley, MD - Medicare Diagnostic Radiology in Las Vegas, NV