Individual provider Active NPI

Keith Shonnard, M.D.

  • Diagnostic Radiology Physician
  • Carson City, NV
National Provider Identifier
1508898974
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7398 Issued in NV
Practice address
2874 N Carson St Ste 300
Carson City, NV 89706-1683
Phone
(775) 888-1180
Fax
(775) 852-6902
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7398 NV Primary
Diagnostic Radiology Physician 2085R0202X G87403 CA

Addresses

Primary practice location

2874 N Carson St Ste 300
Carson City, NV 89706-1683

Mailing address

PO Box 2087
Carson City, NV 89702-2087
Phone (775) 882-0430

Other identifiers 4

IdentifierTypeStateIssuer
CK658YOtherCAMEDICARE PTAN
002013091MedicaidNV
FS4913489OtherCAMEDI-CAL
300064321OtherNVRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050322000846 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain Management 9638125743 Reassigns benefits to 3 organizations
I20241014004731 NV Practitioner - Diagnostic Radiology 9638125743 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7398NVMDDentist
G87403CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Inyo Healthcare District CurrentSince Mar 17, 2014 Accepting new patients
Northern Inyo Healthcare District CurrentSince Mar 17, 2014 Accepting new patients
Great Basin Imaging Diagnostic Radiology Past Accepting new patients

Locations

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

Interoperability endpoints

  • Direct secure messaging: kshonnard790188@direct.med.utah.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1508898974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022087",
            "telephone_number": "775-882-0430",
            "fax_number": "775-852-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST STE 300",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061683",
            "telephone_number": "775-888-1180",
            "fax_number": "775-852-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONNARD",
        "first_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "7398",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G87403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CK658Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013091",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "FS4913489",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300064321",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.