Individual provider Active NPI

Derek Djavaherian, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Reno, NV
National Provider Identifier
1831552447
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
21294 Issued in NV
Practice address
235 W 6TH St
Reno, NV 89503-4548
Phone
(775) 770-3000
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21294 NV
Pain Medicine (Anesthesiology) Physician 207LP2900X 21294 NV Primary

Addresses

Primary practice location

235 W 6TH St
Reno, NV 89503-4548

Mailing address

1801 W Olympic Blvd
File 2152
Pasadena, CA 91199-2152

Other practice location 1

1200 N State St., IPT, Room C4E100
Los Angeles, CA 90033
Phone (858) 663-2957

Other practice location 2

10085 Double R Blvd Ste 205
Reno, NV 89521-3854
Phone (775) 982-5000

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
I20210917002195 NV Practitioner - Anesthesiology 0941624548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Tahoe Anesthesia Weaver PCGroup PAC ID 3971930256, 41 clinicians
Metcalf Tiller and Chen IncGroup PAC ID 5698093086, 32 clinicians

Practice addresses (Care Compare)

18653 Wedge Pkwy
Suite 170
Reno, NV 89511-3037
Phone (775) 674-5200

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Aug 11, 2021 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Aug 11, 2021 Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

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

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

2285 Green Vista Dr
Sparks, NV 89431
Phone (775) 355-1100

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 9

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1831552447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W OLYMPIC BLVD",
            "address_2": "FILE 2152",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911992152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-770-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St., IPT, Room C4E100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90033",
            "country_code": "US",
            "telephone_number": "858-663-2957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10085 Double R Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895213854",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-7205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DJAVAHERIAN",
        "first_name": "DEREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "21294",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "21294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.