Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIERRA NEVADA MEDICAL IMAGING INC A MEDICAL CORPORATION
NPI 1255310124
Radiology - Diagnostic Radiology in South Lake Tahoe, CA

Active since January 10, 2006
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(559) 297-0300(530) 542-9550 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2026, Sep 17, 2020, Jul 1, 2020 and 3 more (6 updates tracked since 2019).

About Sierra Nevada Medical Imaging Inc A Medical Corporation NPPES

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

SIERRA NEVADA MEDICAL IMAGING INC A MEDICAL CORPORATION (NPI 1255310124) is a healthcare organization registered as a diagnostic radiology in South Lake Tahoe, California and active in the NPI registry since January 2006. The organization maintains a secondary practice location in Gardnerville and lists Robert Silk, President/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1255310124
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSIERRA NEVADA MEDICAL IMAGING INC A MEDICAL CORPORATION
Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150
Mailing AddressPo Box 1632Evansville, IN 47706-0033 · (844) 825-9300 · Fax (775) 852-6902
Fax(530) 542-9550
Organization SubpartNo
Authorized OfficialRobert SilkPresident/authorized Official · (775) 392-4141
Enumeration DateJanuary 10, 2006
Last NPPES UpdateSeptember 12, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2026
✔ NPI 1255310124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2170 SOUTH AVE, South Lake Tahoe, CA 96150

Secondary Practice Location 1

Location 11107 US Highway 395 NGardnerville, NV 89410-5304 · Phone (559) 297-0300

Other Identifiers 5

Medicaid100507836NV
OtherCA7623NV · Rr Medicare
Medicaid100507852NV
OtherCA7624CA · Rr Medicare
MedicaidGR0099310CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sierra Nevada Medical Imaging Inc A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050316001079Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Sierra Nevada Medical Imaging Inc A Medical Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Diagnostic Radiology
NPI 1932189024
2170 SOUTH AVE
South Lake Tahoe, CA 96150
(530) 543-5820
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1497726905
2170 SOUTH AVE
South Lake Tahoe, CA 96150
(530) 543-5820
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1114906088
2170 SOUTH AVE
S Lake Tahoe, CA 96150
(530) 543-5850
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1477715944
2874 N CARSON ST STE 300
Carson City, NV 89706
(775) 445-5500
✔ PECOS✔ Accepts Medicare23 mi
Diagnostic Radiology
NPI 1871793380
1460 NE MEDICAL CENTER DR
Bend, OR 97701
(541) 382-6633
✔ PECOS✔ Accepts Medicare362 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sierra Nevada Medical Imaging Inc A Medical Corporation's NPI number?

The NPI number for Sierra Nevada Medical Imaging Inc A Medical Corporation is 1255310124. It was assigned to this organization in the NPPES registry on January 10, 2006.

Where is Sierra Nevada Medical Imaging Inc A Medical Corporation located?

Sierra Nevada Medical Imaging Inc A Medical Corporation is located at 2170 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (559) 297-0300.

What is Sierra Nevada Medical Imaging Inc A Medical Corporation's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sierra Nevada Medical Imaging Inc A Medical Corporation enrolled in Medicare?

Yes. Sierra Nevada Medical Imaging Inc A Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Sierra Nevada Medical Imaging Inc A Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sierra Nevada Medical Imaging Inc A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Sierra Nevada Medical Imaging Inc A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sierra Nevada Medical Imaging Inc A Medical Corporation was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.