NPIMap

Individual provider Active NPI

Ken Oba, DO

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1912535485
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO3696 Issued in NV
Practice address
300 E 2ND St Ste 1230
Reno, NV 89501-1587
Phone
(775) 260-2471
Fax
(775) 357-8042
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X DO3696 NV Primary

Addresses

Primary practice location

300 E 2ND St Ste 1230
Reno, NV 89501-1587

Mailing address

300 E 2ND St Ste 1230
Reno, NV 89501-1587
Phone (775) 260-2471

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
I20240821004926 NV Practitioner - Anesthesiology 8426472663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metcalf Tiller and Chen IncGroup PAC ID 5698093086, 32 clinicians
Reno Tahoe Anesthesia Weaver PCGroup PAC ID 3971930256, 41 clinicians

Practice addresses (Care Compare)

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

625 Innovation Dr
Reno, NV 89511-2215
Phone (775) 799-7320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3696NVMDAnesthesiology Physician
3696NVMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Aug 1, 2024 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

6630 S McCarran Blvd
Ste C25
Reno, NV 89509
Phone (775) 827-5555

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

300 E 2nd St
Ste 1230
Reno, NV 89501
Phone (775) 260-2471

10463 Double R Blvd
Ste 200
Reno, NV 89521
Phone (775) 562-2121

500 Damonte Ranch Pkwy
Ste 703
Reno, NV 89521
Phone (775) 398-4600

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

5560 Kietzke Ln
Reno, NV 89511
Phone (775) 284-1612

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1912535485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 2ND ST STE 1230",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011587",
            "telephone_number": "775-260-2471",
            "fax_number": "775-357-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 2ND ST STE 1230",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011587",
            "telephone_number": "775-260-2471",
            "fax_number": "775-357-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBA",
        "first_name": "KEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "DO3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.