NPIMap

Individual provider Active NPI

Joshua Kreiss, M.D.

  • Neurology Physician
  • Reno, NV
National Provider Identifier
1295952562
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A108180 Issued in CA
Practice address
645 N Arlington Ave
Ste 655
Reno, NV 89503-4460
Phone
(775) 770-6456
Fax
(775) 770-6455
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 14

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Forest Hospital District 140 clinicians

Practice addresses (Care Compare)

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011

Hospital & facility affiliations

  • Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110808000292 CA Practitioner - Neurology 1658540794 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District CurrentSince Feb 1, 2021 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Tahoe Forest Hospital District CurrentSince Feb 1, 2021 Accepting new patients
Remedy Medical Group Past Accepting new patients
Atherton Neurology Medical Office, Inc Neurology PastSince Jul 1, 2002 Accepting new patients

Locations

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10121 Pine Ave
Fl 2
Truckee, CA 96161
Phone (530) 582-6368

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

Interoperability endpoints

  • Direct secure messaging: jkreiss1075941@directa.mercy.net
  • Direct secure messaging: joshua.kreiss.p1@direct.smmg.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A108180 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

645 N Arlington Ave
Ste 655
Reno, NV 89503-4460

Mailing address

645 N Arlington Ave
Ste 655
Reno, NV 89503-4460
Phone (775) 770-6456

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1295952562MedicaidNV
15378OtherNVSTATE LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2017.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1295952562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "STE 655",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034460",
            "telephone_number": "775-770-6456",
            "fax_number": "775-770-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "STE 655",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034460",
            "telephone_number": "775-770-6456",
            "fax_number": "775-770-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISS",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A108180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295952562",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "15378",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.