NPIMap

Individual provider Active NPI

Steve Khodadad Mashour, MD

  • Pulmonary Disease Physician
  • Reno, NV
National Provider Identifier
1821075573
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10761 Issued in NV
Practice address
6190 Mae Anne Ave Ste 1
Reno, NV 89523
Phone
(775) 260-7000
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10761 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 10761 NV
Sleep Medicine (Internal Medicine) Physician 207RS0012X 10761 NV
Pulmonary Disease Physician 207RP1001X 10761 NV Primary

Addresses

Primary practice location

6190 Mae Anne Ave Ste 1
Reno, NV 89523

Mailing address

6190 Mae Anne Ave Ste 1
Reno, NV 89523-4709
Phone (775) 260-7000

Other identifiers 1

IdentifierTypeStateIssuer
100503309MedicaidNV

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
I20040614000755 NV Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Other (Physician) 0840274429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6190 Mae Anne Ave
Suite 1
Reno, NV 89523-4709
Phone (775) 750-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.95 of 100Reported as group
Quality
70.08
Improvement activities
40
Cost
76.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L McDonald MD & Guy T Foster MD LTD Pulmonary Disease CurrentSince Nov 29, 2018 Accepting new patients
Mash Enterprises LLC Critical Care Medicine CurrentSince Aug 22, 2024 Accepting new patients

Locations

200 Bath St
Ste 1
Carson City, NV 89703
Phone (775) 882-2106

6190 Mae Anne Ave
Ste 1
Reno, NV 89523
Phone (775) 418-5990

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHBGDD/Endpoint/BHBGDD

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1821075573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 MAE ANNE AVE STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234709",
            "telephone_number": "775-260-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 MAE ANNE AVE STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-260-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHOUR",
        "first_name": "STEVE",
        "middle_name": "KHODADAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10761",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "10761",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NV",
            "license": "10761",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503309",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.