NPIMap

Individual provider Active NPI

Steven M. Sundstrom, DO

  • Internal Medicine Physician
  • Reno, NV
National Provider Identifier
1730153230
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
779 Issued in NV
Practice address
13945 S Virginia St Ste 632
Reno, NV 89511
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Feb 14, 2006
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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 779 NV Primary

Addresses

Primary practice location

13945 S Virginia St Ste 632
Reno, NV 89511

Mailing address

850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262

Other practice location 1

975 Ryland St
Suite 100
Reno, NV 89502-1667
Phone (775) 982-5000

Other identifiers 3

IdentifierTypeStateIssuer
1730153230MedicaidNV
11041961OtherCAQH
110158492OtherNVRAILROAD MEDICARE

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
I20100125000403 NV Practitioner - Internal Medicine 2365584620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13945 S Virginia St
Suite 632
Reno, NV 89511-8930
Phone (775) 982-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Health Management Company Internal Medicine CurrentSince Jul 1, 1997 Accepting new patients
Hometown Health Management Company Internal Medicine CurrentSince Jul 1, 1997 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Hometown Health Management Company Internal Medicine Past Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

13945 S Virginia St
Ste 632
Reno, NV 89511
Phone (755) 982-5000

850 Harvard Way
Reno, NV 89502

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

Interoperability endpoints

  • Direct secure messaging: ssundstrom1166@direct.renown.org

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1730153230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARVARD WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022055",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 S VIRGINIA ST STE 632",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Ryland St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021667",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDSTROM",
        "first_name": "STEVEN",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730153230",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11041961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110158492",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.