SUTTER BAY MEDICAL FOUNDATION
NPI 1679924765
Internal Medicine - Nephrology in Las Vegas, NV

Active since June 29, 2016
3006 S MARYLAND PKWY STE 470, LAS VEGAS, NV 89109(702) 796-9111(702) 792-9112 Get Directions Write a Review

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

Record update history: Mar 18, 2026, Dec 9, 2021, Jun 29, 2016 (3 updates tracked since 2016).

About Sutter Bay Medical Foundation NPPES

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

SUTTER BAY MEDICAL FOUNDATION (NPI 1679924765), doing business as Sutter Pacific Medical Foundation, is a healthcare organization registered as a nephrology in Las Vegas, Nevada and active in the NPI registry since June 2016. The organization lists Kristin Keller, Sr. Director, Planning And Alignmen, as its authorized official.

NPPES Registry Identity

NPI1679924765
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSUTTER BAY MEDICAL FOUNDATION
Location Address3006 S MARYLAND PKWY STE 470Las Vegas, NV 89109-2235
Mailing AddressPo Box 276950Sacramento, CA 95827-6950
Fax(702) 792-9112
Organization SubpartNo
Authorized OfficialKristin KellerSr. Director, Planning And Alignmen · (650) 934-7000
Enumeration DateJune 29, 2016
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1679924765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X
3006 S MARYLAND PKWY STE 470, Las Vegas, NV 89109

Other Names 1

Doing Business AsSutter Pacific Medical Foundation

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sutter Bay Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Sutter Bay Medical Foundation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nephrology
NPI 1912226002
4986 CHERRY AVE
San Jose, CA 95118
(408) 604-0014
✔ PECOS✔ Accepts Medicare382 mi
Gastroenterology
NPI 1043237712
1100 VAN NESS AVE FL 3
San Francisco, CA 94109
(415) 600-1000
✔ PECOS✔ Accepts Medicare419 mi
Gastroenterology
NPI 1720009160
1100 VAN NESS AVE
San Francisco, CA 94109
(415) 600-1000
✔ PECOS✔ Accepts Medicare419 mi
Internal Medicine
NPI 1528262870
1100 VAN NESS AVE
San Francisco, CA 94109
(415) 600-1070
✔ PECOS✔ Accepts Medicare419 mi
Diagnostic Radiology
NPI 1962454645
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS1,291 mi
Diagnostic Radiology
NPI 1417953795
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS1,291 mi
Diagnostic Radiology
NPI 1134107162
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1100
✔ PECOS1,291 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 Sutter Bay Medical Foundation's NPI number?

The NPI number for Sutter Bay Medical Foundation is 1679924765. It was assigned to this organization in the NPPES registry on June 29, 2016. The provider is doing business as Sutter Pacific Medical Foundation.

Where is Sutter Bay Medical Foundation located?

Sutter Bay Medical Foundation is located at 3006 S Maryland Pkwy Ste 470, Las Vegas, NV 89109. The listed phone number is (702) 796-9111.

What is Sutter Bay Medical Foundation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sutter Bay Medical Foundation enrolled in Medicare?

Yes. Sutter Bay Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sutter Bay Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Sutter Bay Medical Foundation. 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 Diagnostic Radiology (3), Gastroenterology (2) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sutter Bay Medical Foundation was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.