Individual provider Active NPI

Kevin Edward Woodhams, DO

  • Internal Medicine Physician
  • Reno, NV
National Provider Identifier
1568048502
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0076789 Issued in CO
Practice address
130 W Pueblo St
Reno, NV 89509-2845
Phone
(209) 470-5439
NPI assigned
Mar 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0076789 CO Primary

Addresses

Primary practice location

130 W Pueblo St
Reno, NV 89509-2845

Mailing address

130 W Pueblo St
Reno, NV 89509-2845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260204000902 AZ Order and Referring Only - EndocrinologyPractitioner - Endocrinology 1850790890

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Eldorado Blvd
Suite 4300
Broomfield, CO 80021-3564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kwoodhams@billingsclinic.cernerdirect.com

Organizations & group practices 1

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": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1568048502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W PUEBLO ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W PUEBLO ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092845",
            "telephone_number": "209-470-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHAMS",
        "first_name": "KEVIN",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-21",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0076789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.