NPIMap

Individual provider Active NPI

James E Sullivan III, D.O.

  • Nephrology Physician
  • Reno, NV
National Provider Identifier
1467560292
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1097 Issued in NV
Practice address
5437 Kietzke LN
Reno, NV 89511-1088
Phone
(775) 322-4550
Fax
(775) 322-4776
NPI assigned
Aug 29, 2006
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 1097 NV Primary

Addresses

Primary practice location

5437 Kietzke LN
Reno, NV 89511-1088

Mailing address

5437 Kietzke LN
Reno, NV 89511-1088
Phone (775) 322-4550

Other practice location 1

2345 E Prater Way Ste 102
Sparks, NV 89434-9664
Phone (775) 322-4550

Other practice location 2

6 Steptoe Cir
Ely, NV 89301-2692
Phone (775) 322-4550

Other practice location 3

1995 Errecart Blvd Ste 205
Elko, NV 89801-8337
Phone (775) 322-4550

Other identifiers 1

IdentifierTypeStateIssuer
11299872OtherNVCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, IA, CA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040902001193 NV Practitioner - NephrologyPractitioner - AnesthesiologyPractitioner - Internal Medicine 3870569759 Reassigns benefits to 4 organizations
I20221202001477 IA Practitioner - Nephrology 3870569759 Reassigns benefits to 1 organization
I20230828002661 CA Practitioner - Neurology 3870569759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5437 Kietzke LN
Reno, NV 89511-1088
Phone (775) 322-4550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1097NVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veeone Medical Group II Professional Corporation CurrentSince Nov 8, 2022 Accepting new patients
Ccmma SC LLC CurrentSince Jul 1, 2025 Accepting new patients
Oneill Clark Narvarte & Vicks a Professional Corporation Nephrology CurrentSince Aug 1, 2004 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

1420 E Roseville Pkwy
Ste 140
Roseville, CA 95661

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

2340 S Carson St
Ste A
Carson City, NV 89701

1995 Errecart Blvd
Ste 205
Elko, NV 89801
Phone (775) 738-3654

6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

1500 E 2nd St
Ste 106
Reno, NV 89502

5437 Kietzke Ln
Reno, NV 89511
Phone (775) 784-3319

670 Sierra Rose Dr
Reno, NV 89511
Phone (702) 796-9111

901 E 2nd St
Ste 201
Reno, NV 89502
Phone (775) 784-6522

2345 E Prater Way
Ste 102
Sparks, NV 89434
Phone (775) 825-2777

900 Mizpah St
Ste B
Winnemucca, NV 89445
Phone (775) 625-1600

Interoperability endpoints

  • Direct secure messaging: jsullivan263714@uihcdirect.org

Organizations & group practices 5

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1467560292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 E Prater Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894349664",
            "country_code": "US",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Steptoe Cir",
            "address_purpose": "LOCATION",
            "city": "Ely",
            "state": "NV",
            "postal_code": "893012692",
            "country_code": "US",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Errecart Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "898018337",
            "country_code": "US",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11299872",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.