SURGERY NEVADA LLC
NPI 1225781891
Clinic/Center - Ambulatory Surgical in Reno, NV

Active since February 02, 2022CLIA 29D2266869 · Microscopy
5560 KIETZKE LN, RENO, NV 89511(775) 284-1638 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2022, Feb 2, 2022 (2 updates tracked since 2022).

About Surgery Nevada Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGERY NEVADA LLC (NPI 1225781891) is a healthcare organization registered as an ambulatory surgical in Reno, Nevada and active in the NPI registry since February 2022. The organization holds a CLIA Microscopy certificate valid through August 16, 2026 and lists William P. Douglas, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1225781891
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY NEVADA LLC
Location Address5560 KIETZKE LNReno, NV 89511-3019
Mailing Address5560 Kietzke LnReno, NV 89511-3019 · (775) 284-1638
Organization SubpartNo
Authorized OfficialWilliam P. DouglasBilling Manager · (775) 284-1643
Enumeration DateFebruary 2, 2022
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
NPI 1225781891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5560 KIETZKE LN, Reno, NV 89511

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 29D2266869

Surgery Nevada LLC · Reno, NV
Active · expires Aug 16, 2026
CLIA Number29D2266869
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorGavin H Hartman
Laboratory Phone(775) 322-7811
Laboratory LocationSurgery Nevada LLC5560 Kietzke Lane, Reno, NV 89511
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 29

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
17,312 services95 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
1,315 services1,127 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
397 services394 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
226 services225 patients
Exam with injections of chemical for destruction of bladder using an endoscope 52287
This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.
155 services98 patients
Placement of device in prostate for radiation therapy 55876
This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.
121 services121 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
5560 KIETZKE LN, BLDG A
RENO, NV 89511
Urology
5560 KIETZKE LN, BLDG. A
RENO, NV 89511
Physician Assistant
5560 KIETZKE LN
RENO, NV 89511
Physician Assistant (Surgical)
5560 KIETZKE LN, BLDG A
RENO, NV 89511
Specialist/Technologist, Other (Surgical Assistant)
5560 KIETZKE LN
RENO, NV 89511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgery Nevada LLC's NPI number?

The NPI number for Surgery Nevada LLC is 1225781891. It was assigned to this organization in the NPPES registry on February 2, 2022.

Where is Surgery Nevada LLC located?

Surgery Nevada LLC is located at 5560 Kietzke Ln, Reno, NV 89511. The listed phone number is (775) 284-1638.

What is Surgery Nevada LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgery Nevada LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 29D2266869) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Nevada LLC accept?

Health plans from Ambetter from Arizona Complete Health list Surgery Nevada LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgery Nevada LLC was last updated on May 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.