Tahoe Carson Radiology Loos Et Al LTD
Organization Active NPI Diagnostic Radiology Physician · Carson City, NV
NPI 1902838352 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1902838352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- TAHOE CARSON RADIOLOGY LOOS ET AL LTD
- Practice address
- 2874 N Carson St Ste 300
Carson City, NV 89706-1683 - Phone
- (775) 445-5500
- Fax
- (775) 888-0202
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Ryan Redelman, MD
- Title
- President, Owner
- Phone
- (775) 445-5500
Practitioners 51
-
Farres Nitam Uddin Ahmed, M.D.
-
John Erogul, MD
-
Marjeana Hope Lampson, APRN
-
Stephen Loos, MD
-
Sandeep Amesur, M.D.
-
David K Bass, MD
-
Troy Allyn Belle, MD
-
Robert Berger, M.D.
-
Michael David Berven, M.D.
-
James Brull, DO
-
Dennis M Burton, M.D.
-
Kenneth Edgar, MD
-
Mark L Harshany, MD
-
James Clark Haug, D.O
-
Ellen D Johnson, MD
-
Daniel Kirkham, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (17 enrollments) in NV, CA, UT, FL, CO, KS, TX, ID, MD, MI, SC, OH, MS, MA, WI, GA, PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629000218 | NV | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 17 practitioners Practice locations: Carson City, NV; Yerington, NV; Winnemucca, NV; Minden, NV; Hawthorne, NV; Elko, NV; Caliente, NV; Battle MTN, NV |
| O20050321000987 | CA | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 15 practitioners Practice locations: Fall River Mills, CA; Bishop, CA; Woodland Hills, CA |
| O20250917003107 | UT | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 1 practitioner Practice locations: Sandy, UT |
| O20250920000369 | FL | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 5 practitioners Practice locations: Melbourne Beach, FL; North Miami Beach, FL; Palm City, FL; Sarasota, FL; Wellington, FL |
| O20250924000602 | CO | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 4 practitioners Practice locations: Colorado Springs, CO; Denver, CO; Pagosa Springs, CO |
| O20251001001130 | KS | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 3 practitioners Practice locations: Hays, KS; Topeka, KS; Overland Park, KS |
| O20251001001753 | TX | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 2 practitioners Practice locations: Houston, TX; Spicewood, TX |
| O20251001002993 | ID | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 2 practitioners Practice locations: Coeur D Alene, ID |
| O20251002002103 | MD | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 1 practitioner Practice locations: Clarksville, MD |
| O20251003000695 | MI | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 1 practitioner Practice locations: Northville, MI |
| O20251010000052 | SC | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 1 practitioner Practice locations: Sullivans Island, SC |
| O20251020000043 | OH | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 1 practitioner Practice locations: New Albany, OH |
| O20251021002069 | MS | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 1 practitioner Practice locations: Ridgeland, MS |
| O20251202001627 | MA | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 2 practitioners Practice locations: Boxford, MA; Lexington, MA |
| O20251208001116 | WI | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 1 practitioner Practice locations: Beloit, WI |
| O20251226001151 | GA | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 2 practitioners Practice locations: Macon, GA; Clayton, GA |
| O20260108002059 | PA | Part B Supplier - Clinic/Group Practice | 6406832591 |
Receives reassigned benefits from 1 practitioner Practice locations: Venetia, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
2874 N Carson St Ste 300
Carson City, NV 89706-1683
Mailing address
PO Box 1626
Evansville, IN 47706-0028
Phone (775) 283-3315
Other names
- Tahoe Carson Radiology
Other providers in Carson City, NV
- Jade Swift
- Benjamin Syndergaard
- David Alan Tack
- Pamela Taecker
- Tahoe Basin Home Healthcare
- Tahoe Facial Plastic Surgery PLLC
- Tahoe Fracture & Orthopedic Medical Clinic, Inc.
- Tahoe Fracture and Orthopedic Medical Clinic, Inc
- Tahoe Fracture and Orthopedic Medical Clinic, Inc
- Tahoe Fracture and Orthopedic Medical Clinic, Inc.
All providers in Carson City, NV · Diagnostic Radiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.