Individual provider Active NPI

Timothy Grunert, MD

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1073073698
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23918 Issued in NV
Practice address
910 Vista Blvd
Sparks, NV 89434-6501
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 23918 NV Primary

Addresses

Primary practice location

910 Vista Blvd
Sparks, NV 89434-6501

Mailing address

1155 Mill Street
Ms M-14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

745 W Moana Ln
Reno, NV 89509-4991
Phone (775) 982-1000

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
I20230829004087 NV Practitioner - Family Practice 8224461165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

910 Vista Blvd
Sparks, NV 89434-6501
Phone (775) 982-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23918NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Health Management Company Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

745 W Moana Ln
Reno, NV 89509
Phone (775) 334-3033

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

910 Vista Blvd
Sparks, NV 89434
Phone (775) 982-5997

Interoperability endpoints

  • Direct secure messaging: tgrunert148593@direct.renown.org

Organizations & group practices 4

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 4

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1073073698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL STREET",
            "address_2": "MS M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VISTA BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346501",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 W Moana Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094991",
            "country_code": "US",
            "telephone_number": "775-982-1000",
            "fax_number": "775-982-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNERT",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "23918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.