Individual provider Active NPI

Artin Matthew Yeranossian, M.D.

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1679884860
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18543 Issued in NV
Practice address
1 E Liberty St Ste 555
Reno, NV 89501-2104
Phone
(775) 348-1900
Fax
(755) 348-1912
NPI assigned
Jun 23, 2010
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A119496 CA
Anesthesiology Physician 207L00000X 18543 NV Primary

Addresses

Primary practice location

1 E Liberty St Ste 555
Reno, NV 89501-2104

Mailing address

1 E Liberty St Ste 555
Reno, NV 89501-2104
Phone (775) 348-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140627000875 CA Practitioner - Anesthesiology 7911122353 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, Irvine, California College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Specialists Medical CorporationGroup PAC ID 3678849049, 26 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119496CAMDAnesthesiology Physician
18543NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Central Anesthesia Service Exchange Medical Group, Inc. Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 1, 2022 Accepting new patients
SNF Specialists Medical Corporation CurrentSince Dec 1, 2025 Accepting new patients
Regents of the University of Ca Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Pickert Medical Group, P.C. Anesthesiology PastSince Aug 1, 2006 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

624 E Elder St
Fallbrook, CA 92028
Phone (760) 451-4165

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2315 Stockton Blvd
Ste 1200
Sacramento, CA 95817
Phone (916) 734-5394

3315 Watt Ave
Sacramento, CA 95821
Phone (916) 481-0777

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

Organizations & group practices 9

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 1

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1679884860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E LIBERTY ST STE 555",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012104",
            "telephone_number": "775-348-1900",
            "fax_number": "755-348-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E LIBERTY ST STE 555",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012104",
            "telephone_number": "775-348-1900",
            "fax_number": "755-348-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERANOSSIAN",
        "first_name": "ARTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A119496",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "18543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.