Individual provider Active NPI

David William Krivan, MD

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1174626238
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A98603 Issued in CA
Practice address
975 Kirman Avenue
VA Sierra Nevada Healthcare System
Reno, NV 89502
Phone
(832) 265-0376
NPI assigned
Sep 6, 2006
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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 A98603 CA Primary

Addresses

Primary practice location

975 Kirman Avenue
VA Sierra Nevada Healthcare System
Reno, NV 89502

Mailing address

975 Kirman Avenue
VA Sierra Nevada Healthcare System
Reno, NV 89502
Phone (832) 265-0376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170818003159 CA Practitioner - Anesthesiology 3375645849 Reassigns benefits to 4 organizations
I20181218003236 NV Practitioner - Anesthesiology 3375645849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98603CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Sutter Valley Medical Foundation Anesthesiology Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 19, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 19, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Nov 8, 2017 Accepting new patients
Anesthesia Associates of West Michigan, PC Anesthesiology Past Accepting new patients
Preferred Anesthesia Consultants, P.C. Anesthesiology Past Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1238 West St
Redding, CA 96001
Phone (530) 241-5499

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

460 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-5500

550 B St
Yuba City, CA 95991
Phone (530) 749-3650

Organizations & group practices 12

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 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1174626238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 KIRMAN AVENUE",
            "address_2": "VA SIERRA NEVADA HEALTHCARE SYSTEM",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "832-265-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 KIRMAN AVENUE",
            "address_2": "VA SIERRA NEVADA HEALTHCARE SYSTEM",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "832-265-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVAN",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A98603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.