Individual provider Active NPI

Paul F Picetti, M.D.

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1063450047
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
8174 Issued in NV
Practice address
520 Hammill LN
Reno, NV 89511
Phone
(775) 348-1313
Fax
(775) 348-1798
NPI assigned
Jun 3, 2006
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 8174 NV Primary

Addresses

Primary practice location

520 Hammill LN
Reno, NV 89511

Mailing address

520 Hammill LN
Reno, NV 89511-2045
Phone (775) 348-1313

Other identifiers 2

IdentifierTypeStateIssuer
2016596MedicaidNV
1063450047OtherNVNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000262 NV Practitioner - Anesthesiology 1850460619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Dec 8, 2019 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Jun 10, 2015 Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

10463 Double R Blvd
Ste 200
Reno, NV 89521
Phone (775) 562-2121

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

2285 Green Vista Dr
Sparks, NV 89431
Phone (775) 355-1100

2321 Pyramid Way
Sparks, NV 89431
Phone (775) 331-1919

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Organizations & group practices 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1063450047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112045",
            "telephone_number": "775-348-1313",
            "fax_number": "775-348-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-348-1313",
            "fax_number": "775-348-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICETTI",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "8174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016596",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1063450047",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.