NPIMap

Individual provider Active NPI

Irtqa Ilyas

  • Internal Medicine Physician
  • Reno, NV
National Provider Identifier
1396249124
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO2922 Issued in NV
Practice address
235 W 6TH St
Reno, NV 89503-4548
Phone
(775) 770-6490
Fax
(775) 770-3982
NPI assigned
Mar 18, 2018
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 7618341926, 22 clinicians
Saint Marys Medical Group IncGroup PAC ID 7618113523, 52 clinicians
Greenstone Nevada LLCGroup PAC ID 5799108296, 5 clinicians
Curana Health of Nevada PLLCGroup PAC ID 0648515262, 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

National Provider Directory

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

Practice roles

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

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

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

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

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

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

Interoperability endpoints

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

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

Owned or controlled facilities with NPI records 1

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

  • Revive Sparks LLC

    dba Wingfield Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Sparks, NV
    • NPI 1881355857

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1396249124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897021600",
            "telephone_number": "775-770-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-770-6490",
            "fax_number": "775-770-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYAS",
        "first_name": "IRTQA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "DO2922",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.