NPIMap

Individual provider Active NPI

Ashanga Yatawatta, MD FACS

  • Vascular Surgery Physician
  • Reno, NV
National Provider Identifier
1316298367
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
20561 Issued in NV
Practice address
236 W 6TH St Ste 400
Reno, NV 89503-4553
Phone
(725) 400-3200
Fax
(775) 870-1110
NPI assigned
Sep 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 56464 AZ
Surgery Physician 208600000X 20561 NV
Vascular Surgery Physician 2086S0129X 56464 AZ
Surgical Oncology Physician 2086X0206X 20561 NV
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 20561 NV Primary

Addresses

Primary practice location

236 W 6TH St Ste 400
Reno, NV 89503-4553

Mailing address

9726 Quartette Dr
Reno, NV 89521-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 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
I20181023002625 AZ Practitioner - General Surgery 7810240744 Reassigns benefits to 1 organization
I20220106001015 NV Practitioner - General SurgeryPractitioner - Vascular Surgery 7810240744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

236 W 6TH St
Suite 400
Reno, NV 89503-4553
Phone (775) 475-9881

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Pershing General Hospital Hospital, Lovelock, NV, CCN 291304
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)36
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20561NVMDPharmacist
56464AZMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Physician Practices LLC CurrentSince Sep 1, 2018 Accepting new patients
Advanced Surgical Care PLLC Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
Valley View Physician Practices LLC Multi-Specialty Current Accepting new patients
Valley View Physician Practices, LLC CurrentSince Sep 1, 2018 Accepting new patients
Radiology Services P a Multi-Specialty PastSince Sep 20, 2021 Accepting new patients

Locations

5300 S Highway 95
Ste C
Fort Mohave, AZ 86426
Phone (928) 768-2330

5300 S Highway 95
Ste D
Fort Mohave, AZ 86426
Phone (928) 788-3609

236 W 6th St
Ste 400
Reno, NV 89503
Phone (775) 329-0873

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: ashanga.yatawatta.p6@direct.vac.nextgenshare.com
  • Direct secure messaging: ashanga.yatawatta.p12@direct.vac.nextgenshare.com

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.

Hospital & facility affiliations 6

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": "1348876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1316298367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 QUARTETTE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034553",
            "telephone_number": "725-400-3200",
            "fax_number": "775-870-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATAWATTA",
        "first_name": "ASHANGA",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-29",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "56464",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "20561",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "56464",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NV",
            "license": "20561",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NV",
            "license": "20561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.