Active NPI
David Lewis Mathis, MD
- Otolaryngology Physician
- Reno, NV
National Provider Identifier
1275636698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 6812
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002016490 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.54 of 100
- Quality
- 83.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada ENT & Hearing Associates LLC | Otolaryngology | Current | 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.
-
- Otolaryngology Physician
- Reno, NV
- NPI 1487903589
-
- Otolaryngology Physician
- Reno, NV
- NPI 1235314725
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Physical Therapist
- Yerington, NV
- NPI 1407815194
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.