Individual provider Active NPI

Richard I Yamamoto, M.D.

  • Internal Medicine Physician
  • Carson City, NV
National Provider Identifier
1215083753
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5778 Issued in NV
Practice address
2874 N Carson St
Suite 200
Carson City, NV 89706-0251
Phone
(775) 445-7170
Fax
(775) 883-0959
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5778 NV Primary

Addresses

Primary practice location

2874 N Carson St
Suite 200
Carson City, NV 89706-0251

Mailing address

PO Box 4540
Carson City, NV 89702-4540
Phone (775) 445-7170

Other identifiers 3

IdentifierTypeStateIssuer
110238209OtherNVRAILROAD MEDICARE PROVIDE
002013028MedicaidNV
NV0122OtherNVBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000064 NV Practitioner - Internal Medicine 9436140126 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5778NVMDGeneral Practice Dentistry
5728NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CTH Physicians Clinic Internal Medicine Current Accepting new patients
Carson Tahoe Physician Clinics Internal Medicine CurrentSince Apr 1, 2009 Accepting new patients

Locations

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

775 Fleischmann Way
Ste A
Carson City, NV 89703
Phone (702) 882-1361

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

Interoperability endpoints

  • Direct secure messaging: richardyamamoto@cth.allscriptsdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1215083753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4540",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897024540",
            "telephone_number": "775-445-7170",
            "fax_number": "775-883-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST",
            "address_2": "SUITE 200",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060251",
            "telephone_number": "775-445-7170",
            "fax_number": "775-883-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "RICHARD",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "5778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "110238209",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013028",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "NV0122",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.