Irtqa Ilyas

Individual provider Active NPI Internal Medicine Physician · Reno, NV

NPI 1396249124 · NPPES record last updated Jun 12, 2024

Key facts

NPI
1396249124
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
DO2922 (NV)
Practice address
235 W 6TH St
Reno, NV 89503-4548
Phone
(775) 770-6490
Fax
(775) 770-3982
NPI assigned
Mar 18, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

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

Medicare Care Compare profile

Specialty
Hospitalist
Education
University of Nevada School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services NV Requeijo PC (22 clinicians)
Saint Marys Medical Group Inc (52 clinicians)
Greenstone Nevada LLC (5 clinicians)
Curana Health of Nevada PLLC (13 clinicians)

Practice addresses (Care Compare)

1001 Mountain St
Carson City, NV 89703-3848
Phone (337) 991-9276

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

5351 Montessouri St
Las Vegas, NV 89113-1126
Phone (737) 226-6700

Hospital & facility affiliations

  • Hospice Services of Reno Hospice · Sparks, NV · CCN 291568
  • Saint Mary'S Regional Medical Center Hospital · Reno, NV · CCN 290009
  • Renown Regional Medical Center Hospital · Reno, NV · CCN 290001
  • Pam Specialty Hospital of Sparks LLC Long-term care hospital · Sparks, NV · CCN 292004
  • Wingfield Skilled Nursing and Rehabilitation Cente Nursing home · Sparks, NV · CCN 295088

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Wingfield Skilled Nursing and Rehabilitation Center
Sparks, NV · CCN 295088
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 1, 2024
Oct 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210727003880 NV Practitioner - Hospitalist 6406108505 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary'S Medical Group Inc Current
since Jul 1, 2021
Accepting new patients
Jose a Aguirre MD PC Silver State Internal Medicine Current
since Dec 1, 2022
Accepting new patients
CH Specialty Services NV Requeijo PC Internal Medicine Current
since Jun 19, 2024
Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Curana Health of Nevada PLLC Internal Medicine Current
since Jun 19, 2024
Accepting new patients
Saint Marys Medical Group Inc. Hospitalist Current
since Jul 1, 2021
Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Pam Specialty Hospital of Reno LLC Past Accepting new patients
Thi of Nevada at Hearthstone, LLC Past Accepting new patients
Revive Sparks LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1001 Mountain St
Carson City, NV 89703
Phone (775) 222-0045

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

235 W 6th St
Fl 2
Reno, NV 89503
Phone (775) 355-5600

5070 Ion Dr
Ste 100
Sparks, NV 89436
Phone (775) 770-7727

Interoperability endpoints

  • Direct secure messaging: irtqa.ilyas.p1@direct.smmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X DO2922 NV
Internal Medicine Physician 207R00000X DO2922 NV Yes

Addresses

Primary practice location

235 W 6TH St
Reno, NV 89503-4548

Mailing address

PO Box 1600
Carson City, NV 89702-1600
Phone (775) 770-6490

Other providers in Reno, NV

All providers in Reno, NV · Internal Medicine Physician in Nevada

Sources for this page

Verify at the official NPI Registry.