Individual provider Active NPI

Kenneth Todd Thunder, MD

  • Pain Medicine Physician
  • Reno, NV
National Provider Identifier
1518929967
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
8854 Issued in NV
Practice address
6548 S McCarran Blvd Ste a
Reno, NV 89509-6150
Phone
(775) 336-1256
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X 8854 NV
Family Medicine Physician 207Q00000X 8854 NV
Pain Medicine Physician 208VP0000X 8854 NV Primary

Addresses

Primary practice location

6548 S McCarran Blvd Ste a
Reno, NV 89509-6150

Mailing address

6548 S McCarran Blvd Ste a
Reno, NV 89509-6150
Phone (775) 336-1256

Other identifiers 1

IdentifierTypeStateIssuer
100504989MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000096 NV Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Pain Management 7214987411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Nevada School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Custom Physical Therapy Limited PartnershipGroup PAC ID 1355252842, shared by 2 NPIs, 76 clinicians
Thunder Pain Management PCGroup PAC ID 2163733205, 2 clinicians

Practice addresses (Care Compare)

440 E Golden Valley Rd
Reno, NV 89506-5722
Phone (775) 360-3000

6548 S McCarran Blvd
Suite a
Reno, NV 89509-6150
Phone (775) 336-1256

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thunder Pain Management, P.C. Integrative Medicine CurrentSince Feb 9, 2015 Accepting new patients
Williamson Hospitalist Program Past Accepting new patients
Banner Churchill Community Hospital Past Accepting new patients

Locations

6548 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 323-5458

Interoperability endpoints

  • Direct secure messaging: thunderpainmanagement.kenneththunder@139116.advancedmd-direct.com

Organizations & group practices 3

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 2

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1518929967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 S MCCARRAN BLVD STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096150",
            "telephone_number": "775-336-1256",
            "fax_number": "775-336-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 S MCCARRAN BLVD STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096150",
            "telephone_number": "775-336-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUNDER",
        "first_name": "KENNETH",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NV",
            "license": "8854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "8854",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "8854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504989",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.