Individual provider Active NPI

Cathy Sumiko Endo, M.D.

  • Family Medicine Physician
  • Lovelock, NV
National Provider Identifier
1649350174
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7927 Issued in NV
Practice address
855 6TH Street
Lovelock, NV 89419-0661
Phone
(775) 273-2621
Fax
(775) 273-5183
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7927 NV Primary

Addresses

Primary practice location

855 6TH Street
Lovelock, NV 89419-0661

Mailing address

PO Box 661
Lovelock, NV 89419-0661
Phone (775) 273-2621

Other identifiers 1

IdentifierTypeStateIssuer
1447316310MedicaidNV

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
I20120124000743 NV Practitioner - Emergency MedicinePractitioner - Family Practice 0042487514 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pershing General HospitalGroup PAC ID 7012825433, 13 clinicians

Practice addresses (Care Compare)

855 6TH St
Lovelock, NV 89419-8020
Phone 77527326211201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Health Center, Inc. CurrentSince Mar 14, 2000 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
Pershing General Hospital CurrentSince Sep 16, 2014 Accepting new patients
Pershing General Hospital CurrentSince Sep 16, 2014 Accepting new patients
South Lyon Health Center, Inc. CurrentSince Mar 14, 2000 Accepting new patients
Pershing General Hospital Past Accepting new patients

Locations

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

Organizations & group practices 6

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 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1649350174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "894190661",
            "telephone_number": "775-273-2621",
            "fax_number": "775-273-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 6TH STREET",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "894190661",
            "telephone_number": "775-273-2621",
            "fax_number": "775-273-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDO",
        "first_name": "CATHY",
        "middle_name": "SUMIKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447316310",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovelock, NV

Sources for this page

Verify at the official NPI Registry.