CTH Physicians Clinic
Organization Active NPI Internal Medicine Physician · Carson City, NV
NPI 1306533732 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1306533732
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CTH PHYSICIANS CLINIC
- Practice address
- 1600 Medical Pkwy
Carson City, NV 89703-4625 - Phone
- (775) 445-7170
- NPI assigned
- Apr 18, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- CARSON TAHOE REGIONAL HEALTHCARE
Authorized official
- Name
- Katie Kucera
- Title
- VP Cfo
- Phone
- (775) 445-5543
Practitioners 230
-
Lisa Michelle Abitz, APRN,PMHNP-BC, IBCLC
-
Nael Neil Aboul-Hosn, D.O.
-
Saadia Farman Akhtar, PA - C
-
Phil M Aldrich, M.D.
-
Lindsey Christine Aning, APRN
-
Daphne Antillon, DO
-
David M Baker, MD
-
Carrie Ann Barrier, FNP-C
-
Todd P Chapman, MD
-
Basil E Chryssos, M.D.
-
McKenzie Rose Comba, PA-C
-
Allison Cotton, M.D.
-
Elena L Crandell, APRN
-
Alyssa Ann Dedominicis, PA-C
-
Mithun Gopal Devraj, M.D
-
Christopher J Dipaolo, M.D.
-
Gladys Pascual Dolor, APRN
-
Sara Douglas, NP
-
Philip Frank Ferrara III, PA-C
-
Olivia Grace Franke, PA-C
-
Tatsiana Furman, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231026002527 | NV | Part B Supplier - Clinic/Group Practice | 1254787203 |
Receives reassigned benefits from 130 practitioners Practice locations: Carson City, NV; Yerington, NV; Reno, NV; Minden, NV; Fallon, NV; Dayton, NV |
National Provider Directory
- Part of
- Carson Tahoe Regional Healt
Locations
901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Psychiatry Physician |
2084P0800X |
Addresses
Primary practice location
1600 Medical Pkwy
Carson City, NV 89703-4625
Mailing address
PO Box 516598
Los Angeles, CA 90051-0598
Other providers in Carson City, NV
- Jeanette Cross
- Tajonae Cross
- Victoria Rae Crozier
- Frank Cruz Jr.
- Sergio Cruz
- Erica Diana Cuevas
- Jeffrey Cummings
- James A Cunningham
- Russell S Curtis
- Mallory Cushner
All providers in Carson City, NV · Internal Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.