Active NPI
Madjid Keyvani, MD
- Neurology Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 16879
- Practice address
- 1155 Mill St
Reno, NV 89502-1576 - Phone
- (775) 982-7878
- Fax
- (775) 982-4196
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 00025499 | AL | |
| Vascular Neurology Physician | 2084V0102X | 816325 | CA | |
| Hospitalist Physician | 208M00000X | 16879 | NV | |
| Neurology Physician | 2084N0400X | 16879 | NV | Primary |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502-1576
Mailing address
1155 Mill St
Ms M-14
Reno, NV 89502-1576
Phone (775) 982-5262
Other practice location 1
7901 Frost St
San Diego, CA 92123
Phone (858) 939-3400
Other practice location 2
1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-5760
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051556664 | Medicaid | AL | |
| 1508965666 | Other | CA | MEDICAL |
| 051530624 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2929 Health Ctr Dr
San Diego, CA 92123-2762
Phone (858) 499-2600
75 Pringle Way
Suite 401
Reno, NV 89502-1476
Phone (775) 982-5000
7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400
Hospital & facility affiliations
- Sharp Memorial Hospital
- Renown Regional Medical Center
- Tahoe Forest Hospital
- Carson Valley Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025499 | AL | MD | Neurology Physician |
| 816325 | CA | MD | Vascular Neurology Physician |
| 33150 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Community Care Services LLC | Neurology | Current | Accepting new patients |
| Community Care Services LLC | Neurology | Past | Accepting new patients |
Locations
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
2929 Health Center Dr
San Diego, CA 92123
Phone (858) 939-6531
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970
1495 Mill St
Reno, NV 89502
Phone (775) 982-3500
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
75 Pringle Way
Ste 401
Reno, NV 89502
Phone (775) 982-2970
1155 Mill St
Ste L11
Reno, NV 89502
1155 Mill St
Reno, NV 89502
Phone (775) 982-7878
Interoperability endpoints
- mkeyvani22369@sharphealthcare.direct-ci.com
- mkeyvani115340@direct.renown.org
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Neurology Physician
- Reno, NV
- NPI 1508337031
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
-
- Critical Access Hospital
- Truckee, CA
- NPI 1538265780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1508965666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"address_2": "MS M-14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262",
"fax_number": "775-982-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-7878",
"fax_number": "775-982-4196"
}
],
"practiceLocations": [
{
"address_1": "7901 Frost St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92123",
"country_code": "US",
"telephone_number": "858-939-3400",
"fax_number": "858-939-3466",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Van Ness Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941096978",
"country_code": "US",
"telephone_number": "415-600-5760",
"fax_number": "415-369-1208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYVANI",
"first_name": "MADJID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "00025499",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "CA",
"license": "816325",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "16879",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "16879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051556664",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "1508965666",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "051530624",
"state": "AL"
}
],
"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 Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.