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DR. SAMUEL R CHACON M.D. NPI 1215991856


NPI Information

NPI: 1215991856
Provider Name: DR. SAMUEL R CHACON, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 29D2072360

Address:
540 W PLUMB LN STE 200
RENO, NV
ZIP 89509
Phone: (775) 870-1521
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DR. Samuel R Chacon, M.D. is a specialist in Reno, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Samuel R Chacon, M.D. NPI is 1215991856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

540 W PLUMB LN STE 200
RENO, NV
ZIP 89509-683
Phone: (775) 870-1521
Fax: (775) 870-1892

The NPI 1215991856 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 29D2072360 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Evaluation of physical therapy, typically 20 minutes (HCPCS:97161)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 4/12/2006 and was last updated on 3/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery9105NEVADANo
2174400000XSpecialist9105NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002013064MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.