NPIMap

Organization Active NPI

Sparks Radiology Group LTD.

  • Diagnostic Radiology Physician
  • Sparks, NV
National Provider Identifier
1992919237
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SPARKS RADIOLOGY GROUP LTD.
Practice address
2375 E Prater Way
Sparks, NV 89434-9641
Phone
(775) 356-4900
NPI assigned
May 9, 2007
Organization subpart
No

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001493 NV Part B Supplier - Clinic/Group Practice 8820077894 Receives reassigned benefits from 9 practitioners
Practice locations: Sparks, NV

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Dr. Randall A Pierce, M.D.NPI 1174511067
Title
President
Phone
(775) 355-5021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2375 E Prater Way
Sparks, NV 89434-9641

Mailing address

PO Box 21209
Reno, NV 89515-1209
Phone (775) 355-5021

Other identifiers 1

IdentifierTypeStateIssuer
002016811MedicaidNV

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1992919237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21209",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895151209",
            "telephone_number": "775-355-5021",
            "fax_number": "775-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E PRATER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349641",
            "telephone_number": "775-356-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS RADIOLOGY GROUP LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-355-5021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016811",
            "state": "NV"
        }
    ],
    "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 Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.