Individual provider Active NPI

Carly Alyssa Di Lillo, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1104505221
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2913 Issued in NV
Practice address
901 E 2ND St Ste 300
Reno, NV 89502-1175
Phone
(775) 982-5640
Fax
(775) 982-3901
NPI assigned
Jul 17, 2023
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2913 NV Primary

Addresses

Primary practice location

901 E 2ND St Ste 300
Reno, NV 89502-1175

Mailing address

1155 Mill St # M-14
Reno, NV 89502-1576
Phone (775) 982-5640

Other practice location 1

5055 Sun Valley Blvd Ste 100
Sun Valley, NV 89433-8296
Phone (775) 329-6300

Other practice location 2

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

Other practice location 3

3915 Neil Rd
Reno, NV 89502-6808
Phone (775) 329-6300

Other practice location 4

330 Crampton St
Reno, NV 89502-2480
Phone (775) 329-6300

Other practice location 5

2244 Oddie Blvd
Sparks, NV 89431-7574
Phone (775) 329-6300

Other practice location 6

280 Vista Knoll Pkwy Ste 107
Reno, NV 89506-5649
Phone (775) 329-6300

Other practice location 7

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Other names 1

  • Carly Roth Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228003922 NV Practitioner - Physician Assistant 6204286511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health AllianceGroup PAC ID 3577540160, 53 clinicians
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

901 E 2ND St
Suite 300
Reno, NV 89502-1186
Phone (775) 982-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2913NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Jan 30, 2026 Accepting new patients
Community Health Alliance Current Accepting new patients
Community Health Alliance CurrentSince Dec 11, 2023 Accepting new patients
Renown Transitional Care Services CurrentSince Jan 30, 2026 Accepting new patients
Community Care Services LLC CurrentSince Jan 30, 2026 Accepting new patients
Community Health Alliance CurrentSince Dec 11, 2023 Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

10085 Double R Blvd
Ste 120
Reno, NV 89521
Phone (775) 982-4910

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

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021

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

280 Vista Knoll Pkwy
Ste 107
Reno, NV 89506
Phone (775) 250-0607

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

3915 Neil Rd
Reno, NV 89502
Phone (775) 870-4333

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

901 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 982-5640

975 Ryland St
Ste 105
Reno, NV 89502
Phone (775) 982-5640

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

5055 Sun Valley Blvd
Ste 100
Sun Valley, NV 89433
Phone (775) 870-4334

Organizations & group practices 8

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 2

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1104505221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5640",
            "fax_number": "775-982-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 2ND ST STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021175",
            "telephone_number": "775-982-5640",
            "fax_number": "775-982-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5055 Sun Valley Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "NV",
            "postal_code": "894338296",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 S Wells Ave",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022550",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3915 Neil Rd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895026808",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Crampton St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022480",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2244 Oddie Blvd",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894317574",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Vista Knoll Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895065649",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 S Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895024113",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI LILLO",
        "first_name": "CARLY",
        "middle_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "ROTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.