NPIMap

Individual provider Active NPI

Zachary Tyler Baumgardner, MD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1003016809
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13559 Issued in NV
Practice address
601 Ralston St
Suite 100
Reno, NV 89503-4456
Phone
(775) 786-1110
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13559 NV Primary

Addresses

Primary practice location

601 Ralston St
Suite 100
Reno, NV 89503-4456

Mailing address

601 Ralston St
Suite 100
Reno, NV 89503-4456
Phone (775) 786-1110

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
I20100816001025 NV Practitioner - Family Practice 7517091341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Physical Therapy Limited PartnershipGroup PAC ID 1355252842, shared by 2 NPIs, 76 clinicians
DRS Ogara Capurro and Zamboni Et Al Ralston Medical LTDGroup PAC ID 1557340536, 7 clinicians

Practice addresses (Care Compare)

440 E Golden Valley Rd
Suite Aandb
Reno, NV 89506-5722
Phone (775) 360-3000

601 Ralston St
Suite 100
Reno, NV 89503-4482
Phone 7757475050123

Hospital & facility affiliations

  • Mission Home Health of Carson City Home health agency, Carson City, NV, CCN 297249
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions32
Removal or shaving of skin growth12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRS O'Gara, Capurro, & Zamboni, Et Al Ralston Medical LTD Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

601 Ralston St
Ste 100
Reno, NV 89503
Phone (775) 786-1110

Interoperability endpoints

  • FHIR API: https://fhir.renown.org/FHIRProxy/api/FHIR/R4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHBCDD/Endpoint/JHBCDD

Organizations & group practices 2

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1003016809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RALSTON ST",
            "address_2": "SUITE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034456",
            "telephone_number": "775-786-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RALSTON ST",
            "address_2": "SUITE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034456",
            "telephone_number": "775-786-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "ZACHARY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "13559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.