NPIMap

Individual provider Active NPI

Mike Khieu, M.D.

  • Cardiovascular Disease Physician
  • Reno, NV
National Provider Identifier
1194176594
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22810 Issued in NV
Practice address
1500 E 2ND St Ste 400
Reno, NV 89502-1198
Phone
(775) 982-2400
Fax
(775) 982-2410
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 MT212203 PA
Cardiovascular Disease Physician 207RC0000X 22810 NV Primary

Addresses

Primary practice location

1500 E 2ND St Ste 400
Reno, NV 89502-1198

Mailing address

1155 Mill St # Msm14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221025002827 NV Practitioner - Cardiovascular Disease (Cardiology) 3274878210 Reassigns benefits to 5 organizations
I20230214003021 CA Practitioner - Cardiovascular Disease (Cardiology) 3274878210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLC 630 clinicians
Northern Inyo Healthcare District 104 clinicians
Simonmed Reno PLLC 18 clinicians

Practice addresses (Care Compare)

10085 Double R Blvd
Suite 225
Reno, NV 89521-3855
Phone (775) 982-4035

150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-5811

1500 E 2ND St
Suite 400
Reno, NV 89502-1198
Phone (775) 982-2400

590 Eureka Ave
Reno Diagnostic Center Eureka
Reno, NV 89512-3425
Phone (775) 323-5083

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313
  • Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging LLC CurrentSince Jun 1, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation CurrentSince Jun 2, 2024 Accepting new patients
Simonmed Reno PLLC CurrentSince Jun 1, 2024 Accepting new patients
Northern Inyo Healthcare District CurrentSince Mar 15, 2023 Accepting new patients
Community Care Services LLC Family Medicine Current Accepting new patients
Northern Inyo Healthcare District CurrentSince Mar 15, 2023 Accepting new patients
Smi Imaging, LLC CurrentSince Jun 1, 2024 Accepting new patients
Community Care Services LLC Cardiovascular Disease CurrentSince Oct 11, 2022 Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

2300 S Carson St
Ste 1
Carson City, NV 89701
Phone (775) 982-7246

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

1500 E 2nd St
Ste 400
Reno, NV 89502

10201 Double R Blvd
Ste 330
Reno, NV 89521
Phone (775) 982-7000

590 Eureka Ave
Reno, NV 89512
Phone (775) 323-5083

1155 Mill St
#14
Reno, NV 89502

10085 Double R Blvd
Ste 365
Reno, NV 89521
Phone (775) 982-2970

10085 Double R Blvd
Ste 225
Reno, NV 89521
Phone (775) 982-4035

75 Pringle Way
Ste G11
Reno, NV 89502
Phone (775) 284-2010

Interoperability endpoints

  • Direct secure messaging: mkhieu192552@direct.renown.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1194176594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MSM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 2ND ST STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021198",
            "telephone_number": "775-982-2400",
            "fax_number": "775-982-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIEU",
        "first_name": "MIKE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT212203",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "22810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.