NPIMap

Individual provider Active NPI

Jorg Friedrich Dunckelmeyer, MD

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1780657114
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9754 Issued in NV
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(775) 982-4090
Fax
(775) 982-6271
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 A53405 CA
Anesthesiology Physician 207L00000X 9754 NV Primary

Addresses

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone (702) 878-0070

Other practice location 2

681 S Parker St Ste 150
Orange, CA 92868-4761
Phone (714) 744-0900

Other identifiers 2

IdentifierTypeStateIssuer
2018562MedicaidNV
11050726OtherNVCAQH #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050929001309 NV Practitioner - Anesthesiology 4082649892 Reassigns benefits to 5 organizations
I20220906003382 CA Practitioner - Anesthesiology 4082649892
I20251027004741 AZ Practitioner - Anesthesiology 4082649892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amin Dunckelmeyer and Luu PLLCGroup PAC ID 4385002682, 48 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89117
Phone (469) 983-0099

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53405CAMDAnesthesiology Physician
9754NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Jan 2, 2023 Accepting new patients
Zen Anesthesia, LLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 24, 2022 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology CurrentSince Feb 2, 2020 Accepting new patients
Battle Born Anesthesia Associates LTD Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Carson Tahoe Physician Hospital Organization, LLC Anesthesiology CurrentSince Aug 8, 2022 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 24, 2022 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

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

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

3087 E Warm Springs Rd
Ste 400
Las Vegas, NV 89120
Phone (702) 985-3216

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1780657114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-4090",
            "fax_number": "775-982-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9127 W Russell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891481253",
            "country_code": "US",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "681 S Parker St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684761",
            "country_code": "US",
            "telephone_number": "714-744-0900",
            "fax_number": "714-744-9232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCKELMEYER",
        "first_name": "JORG",
        "middle_name": "FRIEDRICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A53405",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "9754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018562",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11050726",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.