NPIMap

Individual provider Active NPI

Amanda Czigany Vanderclay, M.D.

  • Surgery Physician
  • Reno, NV
National Provider Identifier
1841414877
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14290 Issued in NV
Practice address
1500 East 2ND Street #206
Reno, NV 89502
Phone
(775) 789-7000
Fax
(775) 789-7040
NPI assigned
Apr 12, 2007
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14290 NV Primary

Addresses

Primary practice location

1500 East 2ND Street #206
Reno, NV 89502

Mailing address

1500 East 2ND Street #206
Reno, NV 89502
Phone (775) 789-7000

Other names 1

  • Dr. Amanda Czigany Johnson Former name

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
I20120802000590 NV Practitioner - General Surgery 4880840065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gomez Kozar McElreath and Smith Professional CorporationGroup PAC ID 1759369101, 26 clinicians

Practice addresses (Care Compare)

75 Pringle Way
Suite 1002
Reno, NV 89502-1475
Phone (775) 323-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

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

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Mastectomy11
Upper gastrointestinal (GI) endoscopy for acid reflux26
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14290NVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Current Accepting new patients
Gomez Kozar McElreath Smith Surgery CurrentSince Oct 1, 2021 Accepting new patients

Locations

1520 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 782-1550

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

1500 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 322-7811

18653 Wedge Pkwy
Reno, NV 89511
Phone (775) 323-7500

6554 S McCarran Blvd
Ste B
Reno, NV 89509
Phone (702) 324-0288

75 Pringle Way
Ste 1002
Reno, NV 89502
Phone (702) 323-7500

118 E Haskell St
Ste D
Winnemucca, NV 89445
Phone (775) 621-5699

Interoperability endpoints

  • Direct secure messaging: amanda.vanderclay.1@23517.direct.athenahealth.com
  • Direct secure messaging: amanda.vanderclay@premieresurgical.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1841414877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EAST 2ND STREET #206",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-789-7000",
            "fax_number": "775-789-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST 2ND STREET #206",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-789-7000",
            "fax_number": "775-789-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERCLAY",
        "first_name": "AMANDA",
        "middle_name": "CZIGANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "14290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "JOHNSON",
            "middle_name": "CZIGANY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.