NPIMap

Individual provider Active NPI

Katharina Christina Mahadeva Cadwell, MD

  • Hospitalist Physician
  • Sparks, NV
National Provider Identifier
1184740698
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
13648 Issued in NV
Practice address
2375 E Prater Way
Sparks, NV 89434-9665
Phone
(775) 331-7000
Fax
(775) 352-5303
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0050833 CO
Hospitalist Physician 208M00000X 13648 NV Primary

Addresses

Primary practice location

2375 E Prater Way
Sparks, NV 89434-9665

Mailing address

2345 E Prater Way Ste 207
Sparks, NV 89434-9634
Phone (775) 352-5301

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
I20110831000421 NV Practitioner - Internal Medicine 5597935528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

2375 E Prater Way
Sparks, NV 89434-9641
Phone (775) 351-5301

Hospital & facility affiliations

  • Hospice Services of Reno Hospice, Sparks, NV, CCN 291568
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13648NVMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Family Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katharina_mahadeva__md@yourcarecommunity.org

Organizations & group practices 2

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 10

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1184740698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "775-352-5301",
            "fax_number": "775-352-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E PRATER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349665",
            "telephone_number": "775-331-7000",
            "fax_number": "775-352-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADEVA CADWELL",
        "first_name": "KATHARINA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0050833",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "13648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.