Individual provider Active NPI

Clayton Peter Josephy, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Reno, NV
National Provider Identifier
1194996405
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
13603 Issued in NV
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(775) 982-7878
Fax
(775) 982-4196
NPI assigned
Mar 13, 2008
Last updated
Jun 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A112372 CA
Emergency Medicine Physician 207P00000X 13603 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 13603 NV Primary

Addresses

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 541-3420

Other practice location 2

10101 Double R Blvd
Reno, NV 89521-3149
Phone (775) 982-7878

Other practice location 3

3860 Saddle Rd
South Lake Tahoe, CA 96150-8673
Phone (530) 543-5575

Other practice location 4

1501-A Kirkwood Meadows Dr
Kirkwood, CA 95646
Phone (209) 258-7236

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
I20101029000861 CA Practitioner - Emergency Medicine 2062606460 Reassigns benefits to 3 organizations
I20101214000359 NV Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 2062606460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Emergency Medicine
Education
University of Washington School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-7878

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5807

Hospital & facility affiliations

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
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112372CAMDEmergency Medicine Physician
13603NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Jul 1, 2022 Accepting new patients
Tahoe Emergency Physicians Medical Corporation Emergency Medicine CurrentSince Aug 1, 2010 Accepting new patients
Barton Healthcare System Emergency Medicine CurrentSince Nov 24, 2010 Accepting new patients
Barton Healthcare System Emergency Medicine Current Accepting new patients
Community Care Services LLC CurrentSince Jul 1, 2022 Accepting new patients
Community Care Services LLC Current Accepting new patients
Barton Medical Foundation CurrentSince Jan 1, 2023 Accepting new patients
Community Care Services LLC Emergency Medicine Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

1501 Kirkwood Meadows Dr
#A
Kirkwood, CA 95646
Phone (209) 258-6000

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

Interoperability endpoints

  • Direct secure messaging: cjosephy83214@direct.renown.org

Organizations & group practices 9

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 3

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1194996405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2170 South Ave",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961507026",
            "country_code": "US",
            "telephone_number": "530-541-3420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895213149",
            "country_code": "US",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3860 Saddle Rd",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961508673",
            "country_code": "US",
            "telephone_number": "530-543-5575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501-A Kirkwood Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "CA",
            "postal_code": "95646",
            "country_code": "US",
            "telephone_number": "209-258-7236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPHY",
        "first_name": "CLAYTON",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A112372",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "13603",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "13603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.