NPIMap

Individual provider Active NPI

Katelin Stamm, D.O.

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1487090593
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO2389 Issued in NV
Practice address
235 W 6TH St
Reno, NV 89503-4548
Phone
(775) 770-3000
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X DO2389 NV Primary

Addresses

Primary practice location

235 W 6TH St
Reno, NV 89503-4548

Mailing address

2212 White Cedar CT
Chesterfield, MO 63017-7225

Other practice location 1

1402 S Grand Blvd
M260
Saint Louis, MO 63104-1004
Phone (314) 977-9853

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
I20180817002932 NV Practitioner - Anesthesiology 0547562944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Tahoe Anesthesia Weaver PCGroup PAC ID 3971930256, 41 clinicians
Metcalf Tiller and Chen IncGroup PAC ID 5698093086, 32 clinicians

Practice addresses (Care Compare)

18653 Wedge Pkwy
Suite 170
Reno, NV 89511-3037
Phone (775) 674-5200

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2389NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Dec 8, 2019 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Jul 19, 2018 Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

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

10463 Double R Blvd
Ste 200
Reno, NV 89521
Phone (775) 562-2121

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

2285 Green Vista Dr
Sparks, NV 89431
Phone (775) 355-1100

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1487090593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 WHITE CEDAR CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177225"
        },
        {
            "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": "775-770-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 S Grand Blvd",
            "address_2": "M260",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041004",
            "country_code": "US",
            "telephone_number": "314-977-9853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMM",
        "first_name": "KATELIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "DO2389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.