Active NPI
Harold C. Chotiner, M.D.
- Specialist
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4957
- Practice address
- 6630 S McCarran Blvd
Suite 202
Reno, NV 89509-6135 - Phone
- (775) 788-5100
- Fax
- (775) 788-5108
- NPI assigned
- Sep 23, 2006
- Last updated
- Apr 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4957 | NV | Primary |
Addresses
Primary practice location
6630 S McCarran Blvd
Suite 202
Reno, NV 89509-6135
Mailing address
6630 S McCarran Blvd
Suite 202
Reno, NV 89509-6135
Phone (775) 788-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002016214 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4957 | NV | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients |
Locations
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
202 Picard St
Alpha, IL 61413
Phone (309) 629-4601
306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329
Interoperability endpoints
- harold.chotiner.p1@direct.smmg.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Genesis Health Group
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
IL
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1609976315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 S MCCARRAN BLVD",
"address_2": "SUITE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895096135",
"telephone_number": "775-788-5100",
"fax_number": "775-788-5108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 S MCCARRAN BLVD",
"address_2": "SUITE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895096135",
"telephone_number": "775-788-5100",
"fax_number": "775-788-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOTINER",
"first_name": "HAROLD",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "4957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016214",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "6630 S McCarran Blvd",
"address_2": "Suite 202",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895096135",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.