Individual provider Active NPI

Jonathan Thorpe

  • Pediatrics Physician
  • Verdi, NV
National Provider Identifier
1801423769
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23998 Issued in NV
Practice address
270 Commodore Dr
Verdi, NV 89439-8064
Phone
(909) 354-2704
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23998 NV Primary

Addresses

Primary practice location

270 Commodore Dr
Verdi, NV 89439-8064

Mailing address

1155 Mill St BLDG 55
Reno, NV 89502-1576

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
I20231114001368 NV Practitioner - Pediatric Medicine 3779976386 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23998NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pokroy Medical Group of Nevada, LTD. Pediatrics CurrentSince Aug 23, 2023 Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

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

1240 E 9th St
Reno, NV 89512
Phone (775) 323-0478

1155 Mill St
Fl 2
Reno, NV 89502
Phone (702) 697-5234

1155 Mill St
Bldg 55
Reno, NV 89502

3980 Lake Placid Dr
Reno, NV 89511
Phone (775) 470-5584

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1801423769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST BLDG 55",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 COMMODORE DR",
            "city": "VERDI",
            "state": "NV",
            "postal_code": "894398064",
            "telephone_number": "909-354-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "23998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verdi, NV

Sources for this page

Verify at the official NPI Registry.