Individual provider Active NPI

Mary Margaret Maul, M.D.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1336100676
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5735 Issued in NV
Practice address
961 Kuenzli St
Reno, NV 89502-1160
Phone
(775) 704-7200
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5735 NV Primary

Addresses

Primary practice location

961 Kuenzli St
Reno, NV 89502-1160

Mailing address

PO Box 50873
Sparks, NV 89435-0873
Phone (800) 921-7610

Other identifiers 1

IdentifierTypeStateIssuer
2016265MedicaidNV

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000452 NV Practitioner - Family Practice 3678587508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ileana Deftu PCGroup PAC ID 4981822103, 3 clinicians

Practice addresses (Care Compare)

961 Kuenzli St
Reno, NV 89502-1160
Phone (775) 470-7200

Hospital & facility affiliations

  • Advanced Home Health & Hospice of Reno Home health agency, Reno, NV, CCN 297232
  • Sierra Nevada Home Health Home health agency, Reno, NV, CCN 297305

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5735NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ileana Deftu PC CurrentSince Oct 1, 2022 Accepting new patients

Locations

961 Kuenzli St
Reno, NV 89502
Phone (775) 470-7200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advanced Health Care of RenoReno, NV, CCN 295096 Skilled nursing facility Adp of the SNF May 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 2

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1336100676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50873",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894350873",
            "telephone_number": "800-921-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021160",
            "telephone_number": "775-704-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUL",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "5735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016265",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.