Individual provider Active NPI

John Fardell, MD

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1942838511
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD214657 Issued in OR
Practice address
1525 Los Altos Pkwy
Sparks, NV 89436-6692
Phone
(775) 982-5000
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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
Family Medicine Physician 207Q00000X MD214657 OR Primary

Addresses

Primary practice location

1525 Los Altos Pkwy
Sparks, NV 89436-6692

Mailing address

1155 Mill St # M-14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

301 4th St Ste 3H
Alexandria, LA 71301-8411
Phone (318) 441-1041

Other practice location 2

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone (541) 672-9596

Other practice location 3

21 Locust St
Reno, NV 89502-1316
Phone (775) 982-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230726001472 OR Practitioner - Family Practice 5092186585 Reassigns benefits to 2 organizations
I20250714001785 NV Practitioner - Family Practice 5092186585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Umpqua Health Newton Creek LLCGroup PAC ID 4284915141, 9 clinicians

Practice addresses (Care Compare)

10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-7878

1525 Los Altos Pkwy
Sparks, NV 89436-6692
Phone (775) 982-5000

21 Locust St
Reno, NV 89502-1316
Phone (775) 982-5000

3031 NE Stephens St
Roseburg, OR 97470-6237
Phone (541) 229-7038

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Jun 25, 2025 Accepting new patients
Umpqua Health Newton Creek, LLC CurrentSince Oct 31, 2023 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Jun 25, 2025 Accepting new patients
Community Care Services LLC CurrentSince Jun 25, 2025 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Jun 25, 2025 Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jul 11, 2023 Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jul 11, 2023 Accepting new patients
Community Care Services LLC Family Medicine Current Accepting new patients

Locations

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

21 Locust St
Reno, NV 89502
Phone (775) 982-5270

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

1525 Los Altos Pkwy
Sparks, NV 89436
Phone (615) 240-3850

790 S Main St
Myrtle Creek, OR 97457
Phone (541) 860-4070

3031 NE Stephens St
Roseburg, OR 97470
Phone (541) 229-7038

150 NE Kenneth Ford Dr
Roseburg, OR 97470

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEJBD
  • Direct secure messaging: jfardell1245507@direct.hopkinsmedicine.org
  • Direct secure messaging: jfardell215146@direct.renown.org

Organizations & group practices 8

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 4

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1942838511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366692",
            "telephone_number": "775-982-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 4th St Ste 3H",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713018411",
            "country_code": "US",
            "telephone_number": "318-441-1041",
            "fax_number": "318-441-1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 NE Kenneth Ford Dr",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974701042",
            "country_code": "US",
            "telephone_number": "541-672-9596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Locust St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021316",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARDELL",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD214657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.