NPIMap

Individual provider Active NPI

Santhosh Ambika, MD

  • Hematology & Oncology Physician
  • Reno, NV
National Provider Identifier
1174747323
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
16308 Issued in NV
Practice address
5423 Reno Corporate Dr.
Reno, NV 89511-2250
Phone
(775) 329-0873
Fax
(775) 329-1026
NPI assigned
Apr 12, 2007
Last updated
May 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 16308 NV Primary
Hematology (Pathology) Physician 207ZH0000X 16308 NV

Addresses

Primary practice location

5423 Reno Corporate Dr.
Reno, NV 89511-2250

Mailing address

5423 Reno Corporate Dr
Reno, NV 89511-2250
Phone (775) 329-0873

Other identifiers 5

IdentifierTypeStateIssuer
V113098OtherNVINDIVIDUAL PTAN
1417027608OtherVAGROUP NPI
VWCHGCOtherNVGROUP PTAN
C05754OtherVAMEDICARE GROUP PTAN
VAA101126OtherVAMEDICARE PTAN

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
I20160314001856 NV Practitioner - Hematology/Oncology 2163564782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5423 Reno Corporate Dr
Reno, NV 89511-2250
Phone (775) 329-0873

5470 Reno Corporate Dr
Reno, NV 89511-2250
Phone (775) 329-0873

625 Innovation Dr
Reno, NV 89511-2215
Phone (775) 329-0873

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John a Shields MD and Steven a Schiff MD a Professional Corporation Hematology & Oncology CurrentSince May 1, 2016 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
John a Shields MD and Steven a Schiff MD a Professional Corporation Hematology & Oncology PastSince Oct 19, 2020 Accepting new patients

Locations

236 W 6th St
Ste 400
Reno, NV 89503
Phone (775) 329-0873

5423 Reno Corporate Dr
Reno, NV 89511
Phone (775) 329-0873

Organizations & group practices 5

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 11

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1174747323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112250",
            "telephone_number": "775-329-0873",
            "fax_number": "775-329-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 RENO CORPORATE DR.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112250",
            "telephone_number": "775-329-0873",
            "fax_number": "775-329-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBIKA",
        "first_name": "SANTHOSH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NV",
            "license": "16308",
            "primary": true
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NV",
            "license": "16308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "V113098",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1417027608",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "VWCHGC",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C05754",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VAA101126",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.