Active NPI
Gregory B. Tirdel, MD
- Internal Medicine Physician
- Truckee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G69661
- Practice address
- 10956 Donner Pass Rd
Suite 260
Truckee, CA 96161-4861 - Phone
- (530) 582-6400
- Fax
- (530) 582-6991
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G69661 | CA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G69661 | CA | |
| Pulmonary Disease Physician | 207RP1001X | G696610 | CA |
Addresses
Primary practice location
10956 Donner Pass Rd
Suite 260
Truckee, CA 96161-4861
Mailing address
10956 Donner Pass Rd
Suite 260
Truckee, CA 96161-4861
Phone (530) 582-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1827433 | Medicaid | CA | |
| ZZZ21753Z | Other | CA | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070626000322 | CA | Practitioner - Pulmonary Disease | 9234237413 | Reassigns benefits to 6 organizations |
| I20250528002690 | NV | Practitioner - Pulmonary Disease | 9234237413 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Hahnemann University College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tahoe Forest Hospital DistrictBarton Healthcare SystemBarton Medical Foundation
Practice addresses (Care Compare)
10051 Lake Ave
Truckee, CA 96161-4870
Phone (530) 587-7461
10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011
2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5553
Hospital & facility affiliations
- Tahoe Forest Hospital
- Barton Memorial Hospital
- Incline Village Community Hospital
- Eastern Plumas Hospital - Portola Campus
- Plumas District Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.06 of 100
- Quality
- 83.97
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 42.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69661 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| G696610 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Barton Healthcare System | Current | Accepting new patients | |
| Tahoe Carson Valley Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Barton Medical Foundation | Current | Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Steljes MD PC | Pulmonary Disease | Current | Accepting new patients |
| Barton Healthcare System | Internal Medicine | Current | Accepting new patients |
| South Lyon Health Center, Inc. | Past | Accepting new patients | |
| Sparks Family Hospital Inc | Past | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| Mt Grant General Hospital | Past | Accepting new patients |
Locations
2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660
10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461
10956 Donner Pass Rd
Ste 260
Truckee, CA 96161
Phone (530) 582-6400
10956 Donner Pass Rd
Ste 310RHC
Truckee, CA 96161
10956 Donner Pass Rd
Ste 230
Truckee, CA 96161
Phone (530) 582-3277
10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220
3272 E Sunset Rd
Ste 100
Las Vegas, NV 89120
Phone (775) 359-1660
5315 Reno Corporate Dr
Ste 100
Reno, NV 89511
Phone (775) 359-1660
2145 Green Vista Dr
Ste 112
Sparks, NV 89431
Phone (775) 359-1660
Interoperability endpoints
- gtirdel958395@directa.mercy.net
Organizations & group practices 27
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.
-
- Internal Medicine Physician
- South Lake Tahoe, CA
- NPI 1235196015
CA, Internal Medicine
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1508865528
CA, Internal Medicine
-
- Sleep Medicine (Internal Medicine) Physician
- Sparks, NV
- NPI 1487459517
NV, Pulmonary Disease
-
- Rural Health Clinic/Center
- Truckee, CA
- NPI 1760038772
-
- Diagnostic Radiology Physician
- Stateline, NV
- NPI 1467046102
-
- General Acute Care Hospital
- South Lake Tahoe, CA
- NPI 1003867565
-
- Rural Health Clinic/Center
- South Lake Tahoe, CA
- NPI 1053310326
-
- Community Based Hospice Care Agency
- South Lake Tahoe, CA
- NPI 1083678791
Hospital & facility affiliations 6
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": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1821080144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10956 DONNER PASS RD",
"address_2": "SUITE 260",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614861",
"telephone_number": "530-582-6400",
"fax_number": "530-582-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10956 DONNER PASS RD",
"address_2": "SUITE 260",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614861",
"telephone_number": "530-582-6400",
"fax_number": "530-582-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRDEL",
"first_name": "GREGORY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G69661",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G69661",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G696610",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1827433",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "ZZZ21753Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.