Active NPI
Stephen Lane Perry, MD
- Hospitalist Physician
- Carson City, NV
National Provider Identifier
1316943913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 6526
- Practice address
- 1600 Medical Pkwy
Carson City, NV 89703-4625 - Phone
- (775) 445-8795
- Fax
- (775) 445-5175
- NPI assigned
- Jun 28, 2005
- Last updated
- Aug 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6526 | NV | |
| Hospitalist Physician | 208M00000X | 6526 | NV | Primary |
Addresses
Primary practice location
1600 Medical Pkwy
Carson City, NV 89703-4625
Mailing address
PO Box 3299
Carson City, NV 89702-3299
Phone (775) 222-0042
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002003001 | Medicaid | NV | |
| XPY187973 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Humboldt General Hospital
Practice addresses (Care Compare)
118 E Haskell St
Winnemucca, NV 89445-3247
Phone (775) 623-5222
1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 220-9149
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6526 | CA | MD | General Practice Dentistry |
| 6526 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humboldt General Hospital | Current | Accepting new patients | |
| Humboldt General Hospital | Internal Medicine | Current | Accepting new patients |
| Humboldt General Hospital | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Nevada Bagnoli P C | Hospitalist | Current | Accepting new patients |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Past | Accepting new patients |
Locations
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222
Organizations & group practices 5
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.
-
dba Lake Tahoe Regional Hospitalists
- Hospitalist Physician
- Carson City, NV
- NPI 1063608701
-
- Critical Access Hospital
- Winnemucca, NV
- NPI 1750498010
-
- Land Ambulance
- Winnemucca, NV
- NPI 1699899229
-
dba Carson Valley Health
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
- Critical Access Hospital
- Winnemucca, NV
- NPI 1750498010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1316943913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3299",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897023299",
"telephone_number": "775-222-0042",
"fax_number": "775-222-0042"
},
{
"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": "775-445-8795",
"fax_number": "775-445-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "STEPHEN",
"middle_name": "LANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "6526",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "6526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002003001",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY187973",
"state": "CA"
}
],
"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 Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.