NPIMap

Individual provider Active NPI

Calvin Vanreken, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Reno, NV
National Provider Identifier
1710052394
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
NV4220 Issued in NV
Practice address
55 Foothill Rd Ste 1
Reno, NV 89511-5409
Phone
(775) 358-1717
Fax
(775) 358-8862
NPI assigned
Nov 21, 2006
Last updated
Mar 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NV4220 NV Primary

Addresses

Primary practice location

55 Foothill Rd Ste 1
Reno, NV 89511-5409

Mailing address

55 Foothill Rd Ste 1
Reno, NV 89511-5409
Phone (775) 358-1717

Other identifiers 1

IdentifierTypeStateIssuer
100504442MedicaidNV

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
I20040629000130 NV Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 0042296113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Michigan Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Foothill Rd
Suite 1
Reno, NV 89511-5405
Phone (775) 358-1717

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions52
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NV4220NVMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvin Van Reken MD LTD Geriatric Medicine CurrentSince Jan 1, 1978 Accepting new patients

Locations

55 Foothill Rd
Ste 1
Reno, NV 89511
Phone (775) 358-1717

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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 11

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1710052394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FOOTHILL RD STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115409",
            "telephone_number": "775-358-1717",
            "fax_number": "775-358-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOOTHILL RD STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115409",
            "telephone_number": "775-358-1717",
            "fax_number": "775-358-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANREKEN",
        "first_name": "CALVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "NV4220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504442",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.