NPIMap

Individual provider Active NPI

Gary Johnson, M.D.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1417969346
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4850 Issued in NV
Practice address
123 17TH
Brigham BLDG./Mail Stop 316
Reno, NV 89557-0001
Phone
(775) 784-1533
Fax
(775) 784-8075
NPI assigned
Aug 12, 2006
Last updated
Feb 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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 4850 NV Primary

Addresses

Primary practice location

123 17TH
Brigham BLDG./Mail Stop 316
Reno, NV 89557-0001

Mailing address

401 W 2ND St
227
Reno, NV 89503-5345
Phone (775) 784-1223

Other identifiers 1

IdentifierTypeStateIssuer
002016300MedicaidNV

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
I20100623000732 NV Practitioner - Family Practice 8123013935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

745 W Moana LN
Reno, NV 89509-4991
Phone (775) 982-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Medical School Associates North, Inc. CurrentSince Oct 1, 1998 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Oct 1, 1998 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Family Medicine Current Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Hometown Health Management Company Family Medicine Past Accepting new patients
Nevada Health Centers Inc. Past Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

1664 N Virginia St
Rm 241
Reno, NV 89557

745 W Moana Ln
Reno, NV 89509
Phone (775) 334-3033

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

Interoperability endpoints

  • Direct secure messaging: gjohnson689@direct.renown.org

Organizations & group practices 8

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 4

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1417969346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 2ND ST",
            "address_2": "227",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035345",
            "telephone_number": "775-784-1223",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 17TH",
            "address_2": "BRIGHAM BLDG./MAIL STOP 316",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570001",
            "telephone_number": "775-784-1533",
            "fax_number": "775-784-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016300",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.