NPIMap

Individual provider Active NPI

Douglas Vacek, DO

  • Hospitalist Physician
  • Sparks, NV
National Provider Identifier
1790758332
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
1125 Issued in NV
Practice address
2375 E Prater Way
Sparks, NV 89434-9665
Phone
(775) 331-7000
NPI assigned
Feb 13, 2006
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1125 NV
Hospitalist Physician 208M00000X 1125 NV Primary

Addresses

Primary practice location

2375 E Prater Way
Sparks, NV 89434-9665

Mailing address

2345 E Prater Way Ste 215
Sparks, NV 89434-9634
Phone (774) 352-5301

Other identifiers 2

IdentifierTypeStateIssuer
100501342MedicaidNV
P00084972OtherNVRAILROAD 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
I20040226000872 NV Practitioner - HospitalistPractitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 1153220868 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of North Texas HSC, College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

2375 E Prater Way
Sparks, NV 89434-9641
Phone (775) 351-5301

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Health Center, Inc. Current Accepting new patients
Mt Grant General Hospital CurrentSince May 29, 2024 Accepting new patients
Pershing General Hospital Current Accepting new patients
Mt Grant General Hospital CurrentSince May 29, 2024 Accepting new patients
Pershing General Hospital CurrentSince Jan 17, 2018 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
Pershing General Hospital CurrentSince Jan 17, 2018 Accepting new patients
Northern Nevada Medical Group, LLC Family Medicine CurrentSince Aug 26, 2024 Accepting new patients
Pershing General Hospital Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Renown Urgent Care LLC Family Medicine Past Accepting new patients
Churchill Mangat Emergency Group PC Past Accepting new patients

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

18653 Wedge Pkwy
Reno, NV 89511
Phone (775) 770-7210

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

2385 E Prater Way
Ste 205
Sparks, NV 89434
Phone (775) 356-4888

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/persgen-94663ea1

Organizations & group practices 12

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 10

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1790758332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 215",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "774-352-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E PRATER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349665",
            "telephone_number": "775-331-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACEK",
        "first_name": "DOUGLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "1125",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501342",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00084972",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.