Active NPI 1093039976 Individual Practitioner Male Practitioner

Dr. Timothy K Suttle , MD

Urology • Reno, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Suttle, MD is a certified Urology practicing in Reno, NV. With approximately 10 years of clinical experience since graduating from University Of Toledo College Of Medicine in 2016, Dr. Suttle delivers high-quality medical care to the local community at 5560 KIETZKE LN BLDG A.

Dr. Suttle maintains professional affiliations with Urology Nevada Ltd, Plumas District Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound measurement of bladder capacity after voiding, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5560 Kietzke Ln Bldg A

Reno, NV 895113019

Telephone 7753227811

Fax 7753221431

Associated Practice Facility / Clinic

🏢 Urology Nevada Ltd Drs Drew Freeman Garey-Sage Goode Hald Kanllos Facility NPI 1972872497

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Reno, NV

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -11.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

27 Specialists

Practicing in Reno, NV (78 Statewide)

Telehealth Adoption Rate

37.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Suttle (10 Years) 10 Yrs

Reno Specialty Average (21.0 Years) 21.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	305	222	$36.86	$11.10
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	248	192	$53.00	$16.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	172	$415.61	$126.19
99213 Established patient office or other outpatient visit, typically 15 minutes	182	147	$295.31	$89.83
52000 Diagnostic exam of bladder and urethra using an endoscope	127	112	$778.02	$77.63
76770 Complete ultrasound scan behind abdominal cavity	99	92	$353.12	$106.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$541.08	$164.59
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	64	36	$203.31	$62.41
76872 Ultrasound scan of pelvic region through rectum	48	47	$104.67	$31.99
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	46	25	$155.43	$47.83
36415 Insertion of needle into vein for collection of blood sample	29	28	$30.00	$8.65
51741 Electronic assessment of bladder emptying	29	29	$46.24	$7.14
52356 Crushing of stone of ureter with insertion of stent using an endoscope	28	24	$1315.29	$389.47
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	28	28	$2324.43	$719.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$361.00	$111.18
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	27	27	$1185.26	$350.26
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	27	27	$209.11	$29.92
51797 Insertion of device into abdomen with pressure and urine flow rate study	27	27	$618.48	$176.63
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	22	$1299.38	$139.68
64561 Insertion of sacral nerve neurostimulator electrode array	20	12	$2377.50	$349.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$418.83	$128.39
51700 Simple bladder irrigation and/or instillation	16	14	$249.50	$76.45
55700 Biopsy of prostate gland	15	15	$779.20	$127.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$97.07	$29.56
52005 Insertion of tube into ureter using an endoscope through bladder area	12	11	$986.00	$59.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	207	170	$79.01	$10.68
81003 Automated urinalysis test	188	146	$9.65	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	173	147	$306.18	$89.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	129	$429.55	$126.52
52000 Diagnostic exam of bladder and urethra using an endoscope	80	71	$813.25	$76.52
76770 Complete ultrasound scan behind abdominal cavity	62	59	$371.65	$108.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$560.24	$163.72
52000 Diagnostic exam of bladder and urethra using an endoscope	43	42	$842.19	$230.32
52356 Crushing of stone of ureter with insertion of stent using an endoscope	34	31	$1873.53	$412.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$378.80	$112.04
51741 Electronic assessment of bladder emptying	30	30	$47.53	$7.10
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	29	29	$217.62	$31.09
76872 Ultrasound scan of pelvic region through rectum	29	29	$111.72	$31.74
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	29	29	$1251.34	$355.56
51797 Insertion of device into abdomen with pressure and urine flow rate study	28	28	$664.68	$187.44
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	23	$1725.42	$136.48
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	24	24	$2466.00	$720.98
76872 Ultrasound scan of pelvic region through rectum	23	23	$700.00	$136.82
51700 Simple bladder irrigation and/or instillation	17	17	$293.41	$76.29
55700 Biopsy of prostate gland	13	13	$838.00	$242.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$199.00	$58.18
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	11	11	$1190.73	$336.24
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$4587.91	$588.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	515	351	$10.00	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	348	281	$298.69	$93.23
51798 Ultrasound measurement of bladder capacity after voiding	317	244	$120.00	$10.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	156	$413.06	$130.64
52000 Diagnostic exam of bladder and urethra using an endoscope	122	119	$816.40	$253.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$358.40	$114.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$544.82	$169.76
76872 Ultrasound scan of pelvic region through rectum	58	58	$654.14	$142.61
76770 Complete ultrasound scan behind abdominal cavity	51	48	$363.45	$114.13
51700 Simple bladder irrigation and/or instillation	44	36	$362.00	$76.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	27	$2000.00	$133.12
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	28	$193.86	$60.57
J3260 Injection, tobramycin sulfate, up to 80 mg	28	22	$13.86	$2.69
55700 Biopsy of prostate gland	28	28	$799.64	$250.27
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	23	$2600.00	$428.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	25	$63.00	$14.76
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	22	22	$2485.36	$736.56
52240 Destruction and/or removal of large growth of bladder using an endoscope	20	15	$1500.00	$371.47
51741 Electronic assessment of bladder emptying	20	20	$46.50	$7.68
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$641.47	$206.79
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	19	19	$1213.89	$387.66
51702 Simple insertion of temporary bladder tube	19	14	$208.63	$64.97
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$214.00	$33.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$179.50	$58.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$235.75	$73.06
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$1048.67	$337.60
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	11	11	$1182.00	$333.84
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$4442.27	$930.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$76.27	$23.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	233	$143.60	$90.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	204	$192.33	$126.41
81003 Automated urinalysis test	239	204	$10.00	$2.25
51798 Ultrasound measurement of bladder capacity after voiding	190	162	$77.76	$10.05
81002 Urinalysis, manual test	83	73	$14.00	$3.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$277.64	$116.85
52000 Diagnostic exam of bladder and urethra using an endoscope	61	52	$540.92	$144.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$388.96	$170.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	12	$182.00	$102.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$78.24	$55.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	13	$233.44	$179.69
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1302.62	$384.49
51741 Electronic assessment of bladder emptying	12	12	$258.83	$10.51
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$1742.33	$131.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	381	310	$112.00	$73.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	135	$164.82	$105.11
51798 Ultrasound measurement of bladder capacity after voiding	139	121	$45.00	$9.67
81003 Automated urinalysis test	132	113	$10.00	$2.24
81002 Urinalysis, manual test	115	101	$14.00	$3.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	35	$182.00	$104.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$210.00	$105.79
52000 Diagnostic exam of bladder and urethra using an endoscope	48	35	$536.00	$81.88
99441 Telephone medical discussion with physician, 5-10 minutes	25	25	$88.00	$44.07
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$177.00	$102.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$315.00	$162.75
99442 Telephone medical discussion with physician, 11-20 minutes	21	21	$147.00	$73.57
52000 Diagnostic exam of bladder and urethra using an endoscope	21	18	$536.00	$79.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$75.00	$44.44
74420 Imaging of urinary tract	16	15	$36.00	$25.71
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$1515.00	$139.96
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$423.00	$33.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$239.00	$138.82
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$726.00	$429.06
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$670.00	$108.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	575	421	$105.39	$71.36
81002 Urinalysis, manual test	266	232	$13.83	$3.36
51798 Ultrasound measurement of bladder capacity after voiding	189	147	$44.76	$11.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	98	$152.32	$104.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	53	$201.94	$101.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$191.00	$103.72
52000 Diagnostic exam of bladder and urethra using an endoscope	54	44	$536.00	$79.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$289.22	$160.08
J1580 Injection, garamycin, gentamicin, up to 80 mg	25	16	$7.00	$1.76
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$253.83	$100.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$71.84	$43.33
52000 Diagnostic exam of bladder and urethra using an endoscope	19	18	$536.00	$79.83
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$423.00	$32.94
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$700.64	$422.61
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$530.00	$132.41
74420 Imaging of urinary tract	13	13	$36.00	$25.59
51741 Electronic assessment of bladder emptying	13	13	$263.77	$8.11
55700 Biopsy of prostate gland	12	12	$486.50	$233.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$702.25	$422.61
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$1616.00	$140.91
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$670.00	$122.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$209.00	$141.60
81003 Automated urinalysis test	11	11	$10.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	459	353	$92.00	$69.43
81002 Urinalysis, manual test	332	289	$13.82	$3.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	228	11	$10.00	$1.74
J1644 Injection, heparin sodium, per 1000 units	210	11	$3.00	$0.20
51798 Ultrasound measurement of bladder capacity after voiding	137	109	$45.00	$14.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$145.00	$103.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	92	$128.00	$102.07
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	96	15	$605.00	$214.72
52000 Diagnostic exam of bladder and urethra using an endoscope	49	34	$536.00	$80.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	31	$120.77	$36.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	22	$174.11	$67.30
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$234.50	$96.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$199.00	$159.39
J1580 Injection, garamycin, gentamicin, up to 80 mg	22	14	$7.00	$1.40
51700 Simple bladder irrigation and/or instillation	20	13	$192.00	$64.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$65.00	$41.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$1515.00	$115.88
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	15	$70.00	$28.85
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	12	$732.41	$448.57
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$423.00	$33.38
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$536.00	$82.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$273.00	$102.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	376	253	$92.00	$67.25
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	180	30	$605.00	$211.88
81002 Urinalysis, manual test	180	142	$14.00	$3.14
51798 Ultrasound measurement of bladder capacity after voiding	102	83	$45.00	$17.20
51720 Instillation of anti-cancer drug into bladder	85	37	$236.00	$80.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$145.00	$100.78
J9031 Bcg (intravesical) per instillation	63	31	$298.00	$123.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	38	$75.00	$37.13
52000 Diagnostic exam of bladder and urethra using an endoscope	50	38	$536.00	$95.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	45	$65.00	$40.34
51702 Simple insertion of temporary bladder tube	35	14	$195.00	$56.11
J1580 Injection, garamycin, gentamicin, up to 80 mg	34	23	$7.00	$1.52
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	30	$70.00	$29.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	20	$46.00	$23.21
51741 Electronic assessment of bladder emptying	27	27	$48.00	$10.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$128.00	$100.91
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$161.00	$95.99
55700 Biopsy of prostate gland	16	16	$474.00	$210.28
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$404.80	$28.99
76872 Ultrasound scan of pelvic region through rectum	15	15	$238.00	$79.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	12	$32.00	$18.42
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$1679.00	$814.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$1212.00	$118.14
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$530.00	$87.19

Medical Specialties & State Licenses

CMS Verified: 2026-07-14

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NV 21361

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35128478

Hospital & Practice Group Affiliations

Plumas District Hospital

1065 Bucks Lake Rd, Quincy, CA 959719507

Phone: 5302832121

Urology Nevada Ltd

5560 Kietzke Ln, Reno, NV 895113019

Phone: 7753227811

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Derek Glazier , PA

Physician Assistant

NPI 1043731771

Physician Assistant

Dr. Guy Jones , MD

Radiology - Radiation Oncology

NPI 1073824900

Doctor of Medicine (M.D.)

Steffanie Robertus , PA-C

Physician Assistant

NPI 1093386823

Physician Assistant (Certified)

Cheyanne Annis , PA-S

Physician Assistant

NPI 1164182226

PAS

Remy Lamberts

Urology

NPI 1194014688

Jeremy Reichert , PA-C

Physician Assistant

NPI 1215130802

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2026

Urology (License #35128478 in OH)

📍

Updated Practice Location August 31, 2021

Registered at 5560 KIETZKE LN BLDG A, RENO, NV 895113019 (Tel: 7753227811)

📍

Updated Business Mailing Address August 31, 2021

Registered at 5560 KIETZKE LN BLDG A, RENO, NV 895113019 (Tel: 7753227811)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Urology (License #21361 in NV)

✅

NPI Profile Active July 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2016

Registered at 2120 W CENTRAL AVE, TOLEDO, OH 436063834 (Tel: 4195318558)

📍

Updated Business Mailing Address July 19, 2016

Registered at 2120 W CENTRAL AVE, TOLEDO, OH 436063834 (Tel: 4195318558)

👤

Provider Name / Credentials Updated July 19, 2016

Recorded as TIMOTHY SUTTLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2016

Urology (License #35128478 in OH)

🟢

Initial NPI Registration & Enumeration March 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093039976

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 20, 2010

Last Update: July 14, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5560 Kietzke Ln Bldg A

Reno, NV 895113019

Phone: 7753227811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.