Individual provider Active NPI

Roland Roderick Goode, MD

  • Urology Physician
  • Reno, NV
National Provider Identifier
1972765428
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
14707 Issued in NV
Practice address
5560 Kietzke LN.
BLDG. a
Reno, NV 89511
Phone
(775) 322-7811
Fax
(775) 322-1431
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 14707 NV Primary

Addresses

Primary practice location

5560 Kietzke LN.
BLDG. a
Reno, NV 89511

Mailing address

5560 Kietzke LN.
BLDG. a
Reno, NV 89511
Phone (775) 322-7811

Other practice location 1

699 Sierra Rose Dr Ste A
Reno, NV 89511-2069
Phone (775) 689-3737

Other identifiers 1

IdentifierTypeStateIssuer
1972765428MedicaidNV

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
I20130614000081 NV Practitioner - Urology 0446499909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Virginia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Nevada LTDGroup PAC ID 1557460557, 24 clinicians

Practice addresses (Care Compare)

5560 Kietzke LN
BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection48
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Nevada LTD Urology CurrentSince Aug 1, 2013 Accepting new patients

Locations

10745 Double R Blvd
Reno, NV 89521
Phone (775) 322-7811

5560 Kietzke Ln
Bldg A
Reno, NV 89511
Phone (775) 322-7811

699 Sierra Rose Dr
Ste A
Reno, NV 89511
Phone (775) 689-3737

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

5070 Ion Dr
Ste 201
Sparks, NV 89436
Phone (775) 322-7811

Interoperability endpoints

  • Direct secure messaging: roland.goode.1@19482.direct.athenahealth.com
  • Direct secure messaging: rgoode731266@direct.med.utah.edu
  • FHIR API: https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1972765428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN.",
            "address_2": "BLDG. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN.",
            "address_2": "BLDG. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 Sierra Rose Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895112069",
            "country_code": "US",
            "telephone_number": "775-689-3737",
            "fax_number": "775-322-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODE",
        "first_name": "ROLAND",
        "middle_name": "RODERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "14707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972765428",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.