NPIMap

Individual provider Active NPI

Sukumar C Gargya, M.D.

  • Internal Medicine Physician
  • Reno, NV
National Provider Identifier
1649243130
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11105 Issued in NV
Practice address
10623 Professional Cir Ste a
Reno, NV 89521-5833
Phone
(775) 996-4042
Fax
(775) 401-6262
NPI assigned
Feb 7, 2006
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 11105 NV Primary

Addresses

Primary practice location

10623 Professional Cir Ste a
Reno, NV 89521-5833

Mailing address

2745 Spinnaker Dr
Reno, NV 89519-5759
Phone (775) 996-4042

Other identifiers 2

IdentifierTypeStateIssuer
P00166116OtherNVRAILROAD MEDICARE
11678602OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201000751 NV Practitioner - Internal Medicine 2466417449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10623 Professional Cir
Suite a
Reno, NV 89521-5833
Phone (775) 996-4042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11105NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sukumar Gargya, LLC Internal Medicine CurrentSince Jul 18, 2017 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Highline Medical Center Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

10623 Professional Cir
Ste A
Reno, NV 89521
Phone (775) 302-0000

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1649243130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 SPINNAKER DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895195759",
            "telephone_number": "775-996-4042",
            "fax_number": "775-401-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10623 PROFESSIONAL CIR STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215833",
            "telephone_number": "775-996-4042",
            "fax_number": "775-401-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGYA",
        "first_name": "SUKUMAR",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00166116",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11678602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.