Organization Active NPI

Calvin Van Reken MD LTD

  • Geriatric Medicine (Internal Medicine) Physician
  • Reno, NV
National Provider Identifier
1407908536
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
CALVIN VAN REKEN MD LTD
Practice address
55 Foothill Rd
Ste 1
Reno, NV 89511-5404
Phone
(775) 358-1717
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Calvin H Vanreken, MDNPI 1710052394
Title
President
Phone
(775) 358-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

55 Foothill Rd
Ste 1
Reno, NV 89511-5404

Mailing address

55 Foothill Rd
Ste 1
Reno, NV 89511-5404
Phone (775) 358-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120709000219 NV Part B Supplier - Clinic/Group Practice 1052576543 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2112624Calvin Van Reken55 Foothill Rd Ste 1, Reno, NV 89511Provider-performed microscopyMay 2, 2028

National Provider Directory

National Provider Directory

Locations

55 Foothill Rd
Ste 1
Reno, NV 89511
Phone (775) 358-1717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1407908536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FOOTHILL RD",
            "address_2": "STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115404",
            "telephone_number": "775-358-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOOTHILL RD",
            "address_2": "STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115404",
            "telephone_number": "775-358-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN VAN REKEN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "VANREKEN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-358-1717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.