NPIMap

Individual provider Active NPI

Theodore C Pratt, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Reno, NV
National Provider Identifier
1013954080
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
19436 Issued in NV
Practice address
6630 S McCarran Blvd Ste 202
Reno, NV 89509-6186
Phone
(775) 525-9151
Fax
(775) 683-6785
NPI assigned
May 31, 2006
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 19436 NV Primary

Addresses

Primary practice location

6630 S McCarran Blvd Ste 202
Reno, NV 89509-6186

Mailing address

1021 Steamboat Pkwy Ste 120
Reno, NV 89521-6432
Phone (775) 525-9151

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
I20220318002325 NV Practitioner - Thoracic Surgery 7911056023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Nevada School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

2385 E Prater Way
Suite 205
Sparks, NV 89434-9688
Phone (775) 356-4888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Springs Hospital Past Accepting new patients
Wesley Health System LLC Past Accepting new patients
Scripps Health Past Accepting new patients
Dignity Health Past Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Scripps Health Past Accepting new patients
Dakota Specialty Institute Past Accepting new patients

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1013954080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 STEAMBOAT PKWY STE 120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216432",
            "telephone_number": "775-525-9151",
            "fax_number": "775-683-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096186",
            "telephone_number": "775-525-9151",
            "fax_number": "775-683-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "THEODORE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NV",
            "license": "19436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.