Individual provider Active NPI

John Reitano, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1033285218
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19465 Issued in NV
Practice address
526 S Tonopah Dr Ste 140-160
Las Vegas, NV 89106-4043
Phone
(702) 897-7250
Fax
(702) 706-4838
NPI assigned
Nov 28, 2006
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD047753L PA
Psychiatry Physician 2084P0800X 19465 NV Primary

Addresses

Primary practice location

526 S Tonopah Dr Ste 140-160
Las Vegas, NV 89106-4043

Mailing address

526 S Tonopah Dr Ste 140-160
Las Vegas, NV 89106-4043
Phone (702) 897-7250

Other practice location 1

1170 S State St
Ephrata, PA 17522-2601
Phone (717) 859-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170713001089 PA Practitioner - Psychiatry 3173892734 Reassigns benefits to 1 organization
I20200324002809 NV Practitioner - Psychiatry 3173892734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Reitano MD PLLCGroup PAC ID 2365862406, 6 clinicians

Practice addresses (Care Compare)

526 S Tonopah Dr
Suite 160
Las Vegas, NV 89106-4044
Phone (702) 897-7250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Reitano M.D. PLLC Psychiatry CurrentSince Aug 1, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2020 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
John Reitano M.D. PLLC Past Accepting new patients
Mercy Management of Sepa PastSince May 14, 2017 Accepting new patients

Locations

501 S Rancho Dr
Ste I62
Las Vegas, NV 89106
Phone (702) 384-7433

526 S Tonopah Dr
Ste 140
Las Vegas, NV 89106
Phone (702) 440-8440

526 S Tonopah Dr
Ste 140160
Las Vegas, NV 89106
Phone (702) 440-8440

526 S Tonopah Dr
Ste 160
Las Vegas, NV 89106
Phone (702) 359-9899

205 S Front St
Fl 5
Harrisburg, PA 17104
Phone (717) 231-8360

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1033285218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 140-160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064043",
            "telephone_number": "702-897-7250",
            "fax_number": "702-706-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 140-160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064043",
            "telephone_number": "702-897-7250",
            "fax_number": "702-706-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 S State St",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175222601",
            "country_code": "US",
            "telephone_number": "717-859-8000",
            "fax_number": "702-706-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITANO",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD047753L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "19465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.