NPIMap

Individual provider Active NPI

Zachary A Child, MD

  • Orthopaedic Surgery Physician
  • South Lake Tahoe, CA
National Provider Identifier
1053450072
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C149911 Issued in CA
Practice address
2170 South Ave
South Lake Tahoe, CA 96150
Phone
(530) 543-5554
Fax
(530) 541-3016
NPI assigned
Feb 6, 2007
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 17241 NV
Orthopaedic Surgery Physician 207X00000X C149911 CA Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X 17241 NV
Orthopaedic Surgery of the Spine Physician 207XS0117X C149911 CA

Addresses

Primary practice location

2170 South Ave
South Lake Tahoe, CA 96150

Mailing address

2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5636

Other practice location 1

212 Elks Point Rd Ste 200
Zephyr Cove, NV 89448-8001
Phone (775) 589-8950

Other practice location 2

935 Mica Dr Ste 13
Carson City, NV 89705-7181
Phone (775) 783-3065

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170802002353 CA Practitioner - Orthopedic Surgery 3971772021 Reassigns benefits to 2 organizations
I20170905002007 NV Practitioner - Orthopedic Surgery 3971772021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nevada School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

165 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8950

2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion322
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17241NVMDPharmacist
C149911CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp Orthopaedic Surgery CurrentSince Jul 29, 2017 Accepting new patients
Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp CurrentSince Jul 29, 2017 Accepting new patients
Barton Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Tahoe Orthopedics & Sports Medicine, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2017 Accepting new patients
Barton Healthcare System Past Accepting new patients
Bexar County Hospital District Past Accepting new patients
Barton Healthcare System Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Massachusetts General Physicians Organization Inc Orthopaedic Surgery Past Accepting new patients

Locations

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065

925 Tahoe Blvd
Ste 105
Incline Village, NV 89451
Phone (530) 543-5799

Interoperability endpoints

  • Direct secure messaging: zchild120400@direct.renown.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1053450072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-543-5636",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-543-5554",
            "fax_number": "530-541-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Elks Point Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Zephyr Cove",
            "state": "NV",
            "postal_code": "894488001",
            "country_code": "US",
            "telephone_number": "775-589-8950",
            "fax_number": "775-588-1299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Mica Dr Ste 13",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897057181",
            "country_code": "US",
            "telephone_number": "775-783-3065",
            "fax_number": "775-267-1829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILD",
        "first_name": "ZACHARY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "17241",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C149911",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NV",
            "license": "17241",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "C149911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.