TAHOE CARSON VALLEY MEDICAL GROUP INC
NPI 1508865528
Family Medicine in South Lake Tahoe, CA
About Tahoe Carson Valley Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAHOE CARSON VALLEY MEDICAL GROUP INC (NPI 1508865528) is a healthcare organization registered as a family medicine in South Lake Tahoe, California and active in the NPI registry since July 2005. The organization lists David Young, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 12
Other Identifiers 18
Group Practice 1
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)
Tahoe Carson Valley Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
100Medicare enrollment records show 100 clinicians reassign Medicare billing to Tahoe Carson Valley Medical Group Inc, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 57 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 100South Lake Tahoe, CA 96150
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 Tahoe Carson Valley Medical Group Inc's NPI number?
The NPI number for Tahoe Carson Valley Medical Group Inc is 1508865528. It was assigned to this organization in the NPPES registry on July 20, 2005.
Where is Tahoe Carson Valley Medical Group Inc located?
Tahoe Carson Valley Medical Group Inc is located at 2170 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-3420.
What is Tahoe Carson Valley Medical Group Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tahoe Carson Valley Medical Group Inc enrolled in Medicare?
Yes. Tahoe Carson Valley Medical Group Inc is registered in the Medicare PECOS enrollment system.
When is Tahoe Carson Valley Medical Group Inc'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 March 31, 2027. 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 Tahoe Carson Valley Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 100 clinicians in 29 Medicare specialties reassign their Medicare billing to Tahoe Carson Valley Medical Group Inc. 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. The largest specialties are Nurse Practitioner (21), Family Practice (17) and Internal Medicine (9). Of these, 19 practice at this address and 57 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tahoe Carson Valley Medical Group Inc was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Tahoe Carson Valley Medical Group Inc · NPI 1508865528
Family Medicine organization in South Lake Tahoe, California. Organization record, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1508865528 (Entity type: Organization)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** David Young, PRESIDENT
## Practice location
- **Address:** 2170 SOUTH AVE, South Lake Tahoe, CA 96150
- **Phone:** (530) 541-3420 · **Fax:** (530) 541-8723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 100 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Family Practice (17), Internal Medicine (9); 19 practice at this address and 57 within 10 miles; [full list](https://npiprofile.com/npi/1508865528/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2026
- **Other identifiers:** Other USA293250 (CA); Medicaid XGG007610 (CA); Other ZZZ14014Z (CA); and 15 more
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Source: [NPI Profile](https://npiprofile.com/npi/1508865528) · Data from the CMS NPPES public registry.