NPIMap

Individual provider Active NPI

Susan L Knowles, MD

  • Rheumatology Physician
  • Minden, NV
National Provider Identifier
1750583092
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
14138 Issued in NV
Practice address
897 Ironwood Dr
Minden, NV 89423-5198
Phone
(775) 782-1610
Fax
(775) 782-2310
NPI assigned
May 31, 2007
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 14138 NV Primary

Addresses

Primary practice location

897 Ironwood Dr
Minden, NV 89423-5198

Mailing address

897 Ironwood Dr
Minden, NV 89423-5198
Phone (775) 782-1610

Other identifiers 1

IdentifierTypeStateIssuer
1184601239MedicaidNV

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
I20120727000603 NV Practitioner - Rheumatology 4183778152 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Nevada School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carson Valley Medical Center Rural Health ClinicGroup PAC ID 2860579984, 43 clinicians

Practice addresses (Care Compare)

897 Ironwood Dr
Minden, NV 89423-5198
Phone (775) 782-1610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14138NVMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Clinics CurrentSince Jul 15, 2014 Accepting new patients
Carson Valley Medical Center Rural Health Clinic CurrentSince Dec 15, 2024 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Mar 5, 2024 Accepting new patients
CTH Physicians Clinic CurrentSince Sep 1, 2024 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Mar 5, 2024 Accepting new patients
Hospitalists of Arizona, Inc Past Accepting new patients

Locations

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

1520 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 782-1550

897 Ironwood Dr
Minden, NV 89423
Phone (775) 364-1411

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Interoperability endpoints

  • Direct secure messaging: sknowles209623@direct.renown.org

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 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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1750583092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 IRONWOOD DR",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235198",
            "telephone_number": "775-782-1610",
            "fax_number": "775-782-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 IRONWOOD DR",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235198",
            "telephone_number": "775-782-1610",
            "fax_number": "775-782-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "14138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184601239",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.