Unknown Individual – Anesthesiology Physician, NPI 1386710804

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in Anesthesiology Physician. They hold a License No. 11346 (NV). The NPI Number for Unknown Individual is 1386710804

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386710804
Phone
(775) 348-1900
Address
300 SOUTH ARLINGTON AVENUE
Deactivation Date
28 August 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7753317000
Graduation Year
2001 (25 years ago)
PAC ID
8325088719
Group Practice PAC ID
6800889064
Professional Enrollment ID
I20050921000674
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 300, South Arlington Avenue, Powning Addition, Reno, Washoe County, Nevada, 89501, United States

    RENO, NV 895012002

    Phone: (775) 348-1900

    Fax: (775) 348-1904

    Type: Mailing

  • Saint Mary's Regional Medical Center, 235, West 6th Street, Reno, Washoe County, Nevada, 89503, United States

    SAINT MARYS REGIONAL MEDICAL CENTER

    RENO, NV 895034548

    Phone: (775) 770-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89501)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYNV00790Anesthesia for procedure in upper abdomen including use of an endoscope2020
ANESTHESIOLOGYNV36556Insertion of central venous catheter for infusion, patient 5 years or older1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800889064View full group profile

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1386710804 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Anesthesiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Reno, Nevada for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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