Community Care Services – Internal Medicine Physician, NPI 1720031768
Internal Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Community Care Services
10101 Double R Blvd
Reno, NV 895213149
Phone: (775) 982-7878
Fax: (775) 982-4196
Type: Location
1155 MILL ST # M14
RENO, NV 895021576
Phone: (775) 982-5262
Fax: (775) 982-5496
Type: Mailing
Renown Regional Medical Center, 1155, Mill Street, Reno, Washoe County, Nevada, 89502, United States
RENO, NV 895021576
Phone: (775) 982-5000
Fax: (775) 982-4196
Type: Location
850, Harvard Way, Reno, Washoe County, Nevada, 89502, United States
RENO, NV 895022055
Phone: (775) 982-5262
Fax: (775) 982-5496
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (54 days away).
Enrollment records
1
Earliest due date
2026-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060111000900 | O | Clinic/Group Practice | NV | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 89521)
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