Individual provider Active NPI

David Lewis Mathis, MD

  • Otolaryngology Physician
  • Reno, NV
National Provider Identifier
1275636698
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
6812 Issued in NV
Practice address
9770 S McCarran Blvd
Reno, NV 89523
Phone
(775) 322-4589
Fax
(775) 322-3787
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 6812 NV Primary

Addresses

Primary practice location

9770 S McCarran Blvd
Reno, NV 89523

Mailing address

9770 S McCarran Blvd
Reno, NV 89523
Phone (775) 322-4589

Other identifiers 1

IdentifierTypeStateIssuer
002016490MedicaidNV

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
I20050929001182 NV Practitioner - Otolaryngology 5395770192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
83.09
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada ENT & Hearing Associates LLC Otolaryngology CurrentSince Jan 1, 2013 Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Jenny a Van Duyne MD LTD Otolaryngology Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

9770 S McCarran Blvd
Reno, NV 89523
Phone (775) 284-8511

Organizations & group practices 6

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1275636698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-322-4589",
            "fax_number": "775-322-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-322-4589",
            "fax_number": "775-322-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "DAVID",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "6812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016490",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.