Individual provider Active NPI

Melvin L Nutter, D.O.

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1174560551
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1054 Issued in NV
Practice address
520 Hammill LN
Reno, NV 89511-2045
Phone
(775) 348-1313
Fax
(775) 348-1798
NPI assigned
Jun 2, 2006
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 1054 NV Primary

Addresses

Primary practice location

520 Hammill LN
Reno, NV 89511-2045

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2016944MedicaidNV

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
I20120201000649 NV Practitioner - Anesthesiology 8123197985 Reassigns benefits to 1 organization

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
1054NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Picetti LTD Anesthesiology CurrentSince Jul 29, 2002 Accepting new patients

Locations

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

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

Organizations & group practices 1

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1174560551",
    "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": "895112045",
            "telephone_number": "775-348-1313",
            "fax_number": "775-348-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "MELVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016944",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.