Active NPI
John Fardell, MD
- Family Medicine Physician
- Sparks, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD214657
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Current | Accepting new patients | |
| Umpqua Health Newton Creek, LLC | Current | Accepting new patients | |
| Hometown Health Management Company | Family Medicine | Current | Accepting new patients |
| Community Care Services LLC | Current | Accepting new patients | |
| Hometown Health Management Company | Family Medicine | Current | Accepting new patients |
| Umpqua Community Health Center, Inc. | Current | Accepting new patients | |
| Umpqua Community Health Center, Inc. | Current | 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
- https://fhir4.healow.com/fhir/r4/JCEJBD
- jfardell1245507@direct.hopkinsmedicine.org
- 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.
-
dba Community Care Services
- Internal Medicine Physician
- Reno, NV
- NPI 1720031768
Family Medicine
-
dba Renown Health Medical Group
- Family Medicine Physician
- Sparks, NV
- NPI 1861445892
-
- Rural Health Clinic/Center
- Roseburg, OR
- NPI 1174066278
-
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1396751772
-
dba Renown Radiology
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
-
dba Renown Medical Group - Kidney Care
- Nephrology Physician
- Reno, NV
- NPI 1841761384
-
dba Renown Health Urgent Care
- Family Medicine Physician
- Reno, NV
- NPI 1841761277
-
dba Aviva Health
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1720803810
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
-
dba CHI Mercy Medical Center
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.