Active NPI
Melvin Jay Knight, MD
- Family Medicine Physician
- Sun Valley, NV
National Provider Identifier
1861472979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3641
- Practice address
- 5295 Sun Valley Blvd
Sun Valley, NV 89433-7954 - Phone
- (775) 674-5430
- Fax
- (775) 674-5440
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3641 | NV | Primary |
Addresses
Primary practice location
5295 Sun Valley Blvd
Sun Valley, NV 89433-7954
Mailing address
5295 Sun Valley Blvd
Sun Valley, NV 89433-7954
Phone (775) 674-5430
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427283860 | Other | NV | CLINIC TAX NPI |
| 2016810 | Medicaid | NV | |
| CC171Z | Other | NV | MEDICARE PTAN |
| 94-1196203 | Other | NV | CLINIC TAX ID |
| CC163A | Other | NV | CLINIC PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Plus Foundation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Reno, NV
- NPI 1790746089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1861472979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5295 SUN VALLEY BLVD",
"city": "SUN VALLEY",
"state": "NV",
"postal_code": "894337954",
"telephone_number": "775-674-5430",
"fax_number": "775-674-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5295 SUN VALLEY BLVD",
"city": "SUN VALLEY",
"state": "NV",
"postal_code": "894337954",
"telephone_number": "775-674-5430",
"fax_number": "775-674-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "MELVIN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "3641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC TAX NPI",
"identifier": "1427283860",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016810",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CC171Z",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC TAX ID",
"identifier": "94-1196203",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC PTAN",
"identifier": "CC163A",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun Valley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.