Individual provider Active NPI

Derek A. Beenfeldt, M.D,

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1780973891
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15170 Issued in NV
Practice address
6570 S McCarran Blvd
Reno, NV 89509-6112
Phone
(775) 982-8256
Fax
(775) 982-8251
NPI assigned
Mar 30, 2011
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15170 NV Primary

Addresses

Primary practice location

6570 S McCarran Blvd
Reno, NV 89509-6112

Mailing address

1155 Mill St # M-14
Reno, NV 89502-1576
Phone (775) 982-5262

Other identifiers 2

IdentifierTypeStateIssuer
1780973891MedicaidNV
12662999OtherCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140904002771 NV Practitioner - Family Practice 2567695240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6570 S McCarran Blvd
Reno, NV 89509-6112
Phone (775) 982-8256

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15170NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Feb 15, 2016 Accepting new patients
Eastern Sierra Medical Group LLC Family Medicine CurrentSince Feb 15, 2016 Accepting new patients
Community Care Services LLC CurrentSince Feb 15, 2016 Accepting new patients
Community Care Services LLC Family Medicine CurrentSince Feb 15, 2016 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Aug 4, 2014 Accepting new patients
Hometown Health Management Company Family Medicine Current Accepting new patients
Community Care Services LLC Family Medicine Past Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

2300 S Carson St
Ste 1
Carson City, NV 89701
Phone (775) 982-7246

560 E Williams Ave
Fallon, NV 89406
Phone (775) 428-2022

1343 Newlands Dr W
Fernley, NV 89408
Phone (775) 575-3600

10085 Double R Blvd
Ste 220
Reno, NV 89521

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

1075 N Hills Blvd
Ste 180
Reno, NV 89506

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

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

1595 Robb Dr
Ste 2
Reno, NV 89523
Phone (775) 770-7580

25 McCabe Dr
Reno, NV 89511
Phone (775) 826-8100

4796 Caughlin Pkwy
Ste 108
Reno, NV 89519
Phone (775) 828-7525

6570 S McCarran Blvd
Reno, NV 89509
Phone (775) 788-5242

661 Sierra Rose Dr
Reno, NV 89511
Phone (775) 853-7669

75 Pringle Way
Ste 601
Reno, NV 89502
Phone (775) 326-8380

850 Harvard Way
Reno, NV 89502

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

1525 Los Altos Pkwy
Sparks, NV 89436
Phone (615) 240-3850

910 Vista Blvd
Sparks, NV 89434
Phone (775) 982-5998

Interoperability endpoints

  • Direct secure messaging: dbeenfeldt48955@direct.renown.org

Organizations & group practices 8

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 3

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1780973891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "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": "6570 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096112",
            "telephone_number": "775-982-8256",
            "fax_number": "775-982-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENFELDT",
        "first_name": "DEREK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "15170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780973891",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12662999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.