NPIMap

Individual provider Active NPI

John Erogul, MD

  • Diagnostic Radiology Physician
  • Carson City, NV
National Provider Identifier
1790990141
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14132 Issued in NV
Practice address
2874 N Carson St Ste 300
Carson City, NV 89706-1683
Phone
(775) 445-5500
Fax
(775) 888-0202
NPI assigned
May 11, 2007
Last updated
Dec 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A118895 CA
Diagnostic Radiology Physician 2085R0202X 14132 NV Primary

Addresses

Primary practice location

2874 N Carson St Ste 300
Carson City, NV 89706-1683

Mailing address

PO Box 2087
Carson City, NV 89702-2087
Phone (775) 882-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20111221000764 NV Practitioner - Diagnostic Radiology 8921123829 Reassigns benefits to 2 organizations
I20120608000111 CA Practitioner - Diagnostic Radiology 8921123829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Tahoe Carson Radiology Loos Et Al LTDGroup PAC ID 6406832591, 34 clinicians
Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians
High Desert Imaging LLCGroup PAC ID 2769781244, 12 clinicians

Practice addresses (Care Compare)

150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-2136

2110 Idaho St
Elko, NV 89801-2625
Phone (775) 621-5800

2874 N Carson St
Suite 300
Carson City, NV 89706-1683
Phone (775) 888-1180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118895CAMDDiagnostic Radiology Physician
14132NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Imaging LLC CurrentSince Jun 1, 2016 Accepting new patients
Northern Inyo Healthcare District CurrentSince Mar 17, 2014 Accepting new patients
Arizona Advanced Imaging Center LLC CurrentSince Jan 1, 2013 Accepting new patients
Northern Inyo Healthcare District CurrentSince Jan 1, 2025 Accepting new patients
Tahoe Carson Radiology Loos Et Al LTD Diagnostic Radiology CurrentSince Nov 5, 2011 Accepting new patients
Great Basin Imaging Diagnostic Radiology Past Accepting new patients
Imaging Advanced Consultants LLC Past Accepting new patients

Locations

4566 E Inverness Ave
Ste 102
Mesa, AZ 85206
Phone (480) 308-7718

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

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

2874 N Carson St
Ste 300
Carson City, NV 89706
Phone (775) 445-5500

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

2110 Idaho St
Elko, NV 89801
Phone (775) 621-5800

2098 Idaho St
Elko, NV 89801
Phone (775) 323-6100

Interoperability endpoints

  • Direct secure messaging: john.erogul.p2@direct.elkochc.nextgenshare.com

Organizations & group practices 7

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1790990141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022087",
            "telephone_number": "775-882-0430",
            "fax_number": "775-852-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST STE 300",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061683",
            "telephone_number": "775-445-5500",
            "fax_number": "775-888-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROGUL",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A118895",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "14132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.