Individual provider Active NPI

Byung Chan Thomas Ahn, M.D.

  • Neurology Physician
  • Reno, NV
National Provider Identifier
1962701219
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
18133 Issued in NV
Practice address
7111 S Virginia St Ste D2
Reno, NV 89511-1141
Phone
(775) 870-1230
Fax
(833) 606-1557
NPI assigned
Mar 24, 2011
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 125060435 IL
Neurology Physician 2084N0400X DR.0055890 CO
Neurology Physician 2084N0400X 18133 NV Primary

Addresses

Primary practice location

7111 S Virginia St Ste D2
Reno, NV 89511-1141

Mailing address

7111 S Virginia St Ste D2
Reno, NV 89511-1141
Phone (775) 870-1230

Other identifiers 2

IdentifierTypeStateIssuer
13746319OtherNVCAQH NUMBER
18133OtherNVMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181016002893 NV Practitioner - Neurology 5890096374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Diego School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7111 S Virginia St
Suite D2
Reno, NV 89511-1141
Phone (775) 870-1230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125060435ILMDNeurology Physician
18133NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn's Alliance Neurology Consultants, PLLC Neurology CurrentSince May 1, 2019 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

135 N Sierra St
Ste 40595
Reno, NV 89501
Phone (775) 683-9075

135 N Sierra St
#40595
Reno, NV 89501
Phone (775) 870-1230

7111 S Virginia St
Ste D2
Reno, NV 89511
Phone (775) 870-1230

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1962701219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 S VIRGINIA ST STE D2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111141",
            "telephone_number": "775-870-1230",
            "fax_number": "833-606-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 S VIRGINIA ST STE D2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111141",
            "telephone_number": "775-870-1230",
            "fax_number": "833-606-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "BYUNG CHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "125060435",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0055890",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "18133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "13746319",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "18133",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.