Active NPI
Greenstone Nevada LLC
- Internal Medicine Physician
- Reno, NV
National Provider Identifier
1154943249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GREENSTONE NEVADA LLC
- Practice address
- 235 W 6TH St FL 2
Reno, NV 89503-4548 - Phone
- (702) 453-3799
- Fax
- (702) 453-5741
- NPI assigned
- May 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Benjamin Carli
- Title
- Physician
- Phone
- (775) 285-7895
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
235 W 6TH St FL 2
Reno, NV 89503-4548
Mailing address
10350 N McCarran Blvd # 1037
Reno, NV 89503-6848
Phone (727) 424-4721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200630002457 | NV | Part B Supplier - Clinic/Group Practice | 5799108296 |
Receives reassigned benefits from 10 practitioners Practice locations: Reno, NV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Reno, NV
- NPI 1275821076
Internal Medicine, NV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1154943249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 N MCCARRAN BLVD # 1037",
"city": "RENO",
"state": "NV",
"postal_code": "895036848",
"telephone_number": "727-424-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W 6TH ST FL 2",
"city": "RENO",
"state": "NV",
"postal_code": "895034548",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENSTONE NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-12",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A",
"authorized_official_last_name": "CARLI",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "775-285-7895"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.