Individual provider Active NPI

Gavin Harvey Hartman, M.D.

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1568728996
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16960 Issued in NV
Practice address
411 W 6TH St
Reno, NV 89503-4415
Phone
(775) 770-3209
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16960 NV Primary

Addresses

Primary practice location

411 W 6TH St
Reno, NV 89503-4415

Mailing address

411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-3209

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
I20170623002052 NV Practitioner - Anesthesiology 3870861396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Columbia School of Medicine, 2012
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 Medicine

State licenses

LicenseStateTypeSpecialty
16960NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Dec 8, 2019 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

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

6630 S McCarran Blvd
Ste C25
Reno, NV 89509
Phone (775) 827-5555

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

5560 Kietzke Ln
Reno, NV 89511
Phone (775) 284-1612

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

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

500 Damonte Ranch Pkwy
Ste 703
Reno, NV 89521
Phone (775) 398-4600

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

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

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 9

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1568728996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034415",
            "telephone_number": "775-770-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034415",
            "telephone_number": "775-770-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "GAVIN",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "16960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.