NPIMap

Organization Active NPI

CTH Physicians Clinic

  • Internal Medicine Physician
  • Carson City, NV
National Provider Identifier
1306533732
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CARSON TAHOE REGIONAL HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Katie Kucera
Title
VP Cfo
Phone
(775) 445-5543

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Part of
Carson Tahoe Behavioral Health Services

Locations

1470 Medical Pkwy
Ste 265
Carson City, NV 89703
Phone (775) 445-4564

1535 Medical Pkwy
Ste B
Carson City, NV 89703
Phone (775) 445-7960

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

1677 Lucerne St
Minden, NV 89423
Phone (775) 445-6680

925 Ironwood Dr
Ste 1108
Minden, NV 89423
Phone (775) 445-7560

925 Ironwood Dr
Ste 2105
Minden, NV 89423
Phone (775) 445-7745

Practitioners & affiliated clinicians

Practitioners 230

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1306533732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516598",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625",
            "telephone_number": "775-445-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTH PHYSICIANS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARSON TAHOE REGIONAL HEALTHCARE",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "775-445-5543"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.