NPIMap

Individual provider Active NPI

Andrea Malchiodi Tatro, MD

  • Physical Medicine & Rehabilitation Physician
  • Sparks, NV
National Provider Identifier
1134319916
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
12395 Issued in NV
Practice address
1055 Roberta LN
Suite103
Sparks, NV 89431-1893
Phone
(775) 331-2600
Fax
(775) 331-2605
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 12395 NV Primary

Addresses

Primary practice location

1055 Roberta LN
Suite103
Sparks, NV 89431-1893

Mailing address

PO Box 51210
Sparks, NV 89435-1210
Phone (775) 331-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000586 NV Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 1658467337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Creighton University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Physical Therapy Limited PartnershipGroup PAC ID 1355252842, shared by 2 NPIs, 76 clinicians
Robert G Berry Jr LTDGroup PAC ID 2466488903, 5 clinicians

Practice addresses (Care Compare)

440 E Golden Valley Rd
Suite Aandb
Reno, NV 89506-5722
Phone (775) 360-3000

6630 S McCarran Blvd
Suite A3
Reno, NV 89509-6136
Phone (775) 448-9422

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12395NVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G Berry Jr LTD Physical Medicine & Rehabilitation CurrentSince Aug 1, 2020 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients

Locations

6630 S McCarran Blvd
Ste A3
Reno, NV 89509
Phone (775) 448-9422

6630 S McCarran Blvd
Ste A4
Reno, NV 89509
Phone (775) 282-2873

Interoperability endpoints

  • Direct secure messaging: orthorehabofnevada.andreatatro@141557.advancedmd-direct.com

Organizations & group practices 6

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 12

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1134319916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51210",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894351210",
            "telephone_number": "775-331-2600",
            "fax_number": "775-331-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ROBERTA LN",
            "address_2": "SUITE103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311893",
            "telephone_number": "775-331-2600",
            "fax_number": "775-331-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATRO",
        "first_name": "ANDREA",
        "middle_name": "MALCHIODI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "12395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.