NPIMap

Individual provider Active NPI

Benjamin T. Ebner, MD

  • Interventional Cardiology Physician
  • Reno, NV
National Provider Identifier
1285953133
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
18803 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
May 18, 2010
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 18803 NV
Interventional Cardiology Physician 207RI0011X 18803 NV Primary

Addresses

Primary practice location

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

Mailing address

1155 Mill St # McM14
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
I20190515003366 NV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9133497696 Reassigns benefits to 5 organizations
I20191115001642 CA Practitioner - Cardiovascular Disease (Cardiology) 9133497696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Human Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians
Simonmed Reno PLLCGroup PAC ID 5991140360, 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

1680 Bunyan Rd
Susanville, CA 96130-3133
Phone (530) 257-5730

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

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting119
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation CurrentSince Jun 11, 2024 Accepting new patients
Simonmed Reno PLLC CurrentSince Jun 23, 2024 Accepting new patients
Northern Inyo Healthcare District CurrentSince Oct 28, 2020 Accepting new patients
Community Care Services LLC Internal Medicine CurrentSince Mar 18, 2019 Accepting new patients
Northern Inyo Healthcare District Current Accepting new patients
Smi Imaging, LLC CurrentSince Jun 11, 2024 Accepting new patients
Munson Medical Center Past Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

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

152 Pioneer Ln
Ste C
Bishop, CA 93514
Phone (760) 873-5811

152 Pioneer Ln
Ste F
Bishop, CA 93514
Phone (760) 872-1606

1680 Bunyan Rd
Susanville, CA 96130
Phone (530) 252-2235

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

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

1155 Mill St
#14
Reno, NV 89502

1155 Mill St
#T5
Reno, NV 89502

1500 E 2nd St
Ste 400
Reno, NV 89502

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

850 Harvard Way
Reno, NV 89502

Interoperability endpoints

  • Direct secure messaging: bebner148828@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 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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1285953133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "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": "EBNER",
        "first_name": "BENJAMIN",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "18803",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "18803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.