NPIMap

Individual provider Active NPI

Anwar Mack, MD

  • Pain Medicine (Anesthesiology) Physician
  • Reno, NV
National Provider Identifier
1184010597
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
19872 Issued in NV
Practice address
605 Sierra Rose Drive #4
Reno, NV 89511
Phone
(775) 689-5410
Fax
(775) 786-4031
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME133682 FL
Internal Medicine Physician 207R00000X TRN21142 FL
Pain Medicine Physician 208VP0000X ME133682 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X 19872 NV Primary

Addresses

Primary practice location

605 Sierra Rose Drive #4
Reno, NV 89511

Mailing address

605 Sierra Rose Drive Ste 4
Reno, NV 89511
Phone (775) 689-5410

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
I20200529002508 NV Practitioner - Pain Management 8921310517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berman and Pitman LTDGroup PAC ID 9638177058, 10 clinicians

Practice addresses (Care Compare)

605 Sierra Rose Dr
Suite 4
Reno, NV 89511-2093
Phone (775) 689-5410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
72.21
Improvement activities
40
Cost
83.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN21142FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berman & Mack LTD. Pain Medicine CurrentSince May 18, 2020 Accepting new patients
Fabito Anesthesia & Pain Specialists PC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

1000 N Green Valley Pkwy
#440533
Henderson, NV 89074

1748 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 966-2435

605 Sierra Rose Dr
Ste 4
Reno, NV 89511
Phone (775) 689-5410

Interoperability endpoints

  • Direct secure messaging: anwar.mack@3643.securemail.prognocis.com

Organizations & group practices 3

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 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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1184010597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DRIVE STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-689-5410",
            "fax_number": "775-451-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DRIVE #4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-689-5410",
            "fax_number": "775-786-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ANWAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME133682",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN21142",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME133682",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "19872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.