NPIMap

Individual provider Active NPI

Steven Courtlandt Jarzembowski

  • Pulmonary Disease Physician
  • Reno, NV
National Provider Identifier
1760809875
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
21810 Issued in NV
Practice address
5437 Kietzke LN
Reno, NV 89511-1088
Phone
(775) 322-4550
Fax
(775) 322-4956
NPI assigned
Mar 26, 2014
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 21810 NV
Pulmonary Disease Physician 207RP1001X 21810 NV Primary

Addresses

Primary practice location

5437 Kietzke LN
Reno, NV 89511-1088

Mailing address

5437 Kietzke LN
Reno, NV 89511-1088
Phone (775) 322-4550

Other practice location 1

2345 E Prater Way Ste 102
Sparks, NV 89434-9664
Phone (775) 322-4550

Other identifiers 1

IdentifierTypeStateIssuer
14675492OtherNVCAQH

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
I20220318002289 NV Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8729380530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
George Washington University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Chest Physicians PLLCGroup PAC ID 5799131280, 12 clinicians

Practice addresses (Care Compare)

5437 Kietzke LN
Reno, NV 89511-1088
Phone (775) 322-4550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21810NVMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Chest Physicians PLLC Critical Care Medicine CurrentSince Dec 10, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

5437 Kietzke Ln
Reno, NV 89511
Phone (775) 784-3319

645 N Arlington Ave
Ste 525
Reno, NV 89503
Phone (775) 770-7527

748 S Meadows Pkwy
Ste A9
Reno, NV 89521

2345 E Prater Way
Ste 102
Sparks, NV 89434
Phone (775) 825-2777

Organizations & group practices 5

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1760809875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 E Prater Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894349664",
            "country_code": "US",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARZEMBOWSKI",
        "first_name": "STEVEN",
        "middle_name": "COURTLANDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "21810",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "21810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14675492",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.