SOUTH TAHOE ANESTHESIA MEDICAL GROUP
NPI 1962513770
Anesthesiology - Pain Medicine in South Lake Tahoe, CA

Active since August 31, 2006
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 542-3000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About South Tahoe Anesthesia Medical Group NPPES

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

SOUTH TAHOE ANESTHESIA MEDICAL GROUP (NPI 1962513770) is a healthcare organization registered as a pain medicine in South Lake Tahoe, California and active in the NPI registry since August 2006. The organization lists Baghdassar P Baghdikian, Md, as its authorized official.

NPPES Registry Identity

NPI1962513770
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSOUTH TAHOE ANESTHESIA MEDICAL GROUP
Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150-7026
Mailing Address5 Holland, Ste 101Irvine, CA 92618-2566 · (949) 588-2190
Organization SubpartNo
Authorized OfficialBaghdassar P BaghdikianMd · (530) 542-3000
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962513770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · G54505
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2170 SOUTH AVE, South Lake Tahoe, CA 96150

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Tahoe Anesthesia Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to South Tahoe Anesthesia Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Anesthesiology17
Pain Management1

Clinicians, nearest first (18)

Pain Management
NPI 1346359445
2170 SOUTH AVE
South Lake Tahoe, CA 96150
(916) 541-3420
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1700806759
2170 SOUTH AVE BARTON MEMORIAL HOSPITAL- SURGERY
South Lake Tahoe, CA 96150
(530) 543-5880
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1053417303
2170 SOUTH AVE
South Lake Tahoe, CA 96150
(530) 543-5880
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1174626238
975 KIRMAN AVENUE VA SIERRA NEVADA HEALTHCARE SYSTEM
Reno, NV 89502
(832) 265-0376
✔ PECOS✔ Accepts Medicare43 mi
Anesthesiology
NPI 1538166715
300 E 2ND ST STE 1230
Reno, NV 89501
(530) 545-1175
✔ PECOS✔ Accepts Medicare44 mi
Anesthesiology
NPI 1871955732
1155 MILL ST
Reno, NV 89502
(775) 982-4100
✔ PECOS✔ Accepts Medicare44 mi
Anesthesiology
NPI 1922295971
726 FOURTH STREET
Marysville, CA 95901
(530) 749-4300
✔ PECOS✔ Accepts Medicare87 mi
Anesthesiology
NPI 1891724670
2626 N CALIFORNIA ST SUITE G
Stockton, CA 95204
(209) 464-9846
✔ PECOS✔ Accepts Medicare95 mi
Anesthesiology
NPI 1689065666
60 MDG/SGCJ 101 BODIN CIR
Travis Afb, CA 94535
(707) 423-3977
✔ PECOS✔ Accepts Medicare114 mi
Anesthesiology
NPI 1750673570
101 BODIN CIR
Travis Afb, CA 94535
(707) 423-3000
✔ PECOS✔ Accepts Medicare115 mi
Anesthesiology
NPI 1467619353
4 FINANCIAL PLZ
Napa, CA 94558
(707) 266-7051
✔ PECOS✔ Accepts Medicare131 mi
Anesthesiology
NPI 1245222363
28062 BAXTER RD
Murrieta, CA 92563
(951) 290-4000
✔ PECOS✔ Accepts Medicare398 mi
Anesthesiology
NPI 1770143687
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts Medicare1,707 mi
Anesthesiology
NPI 1548267149
1701 N SENATE BLVD
Indianapolis, IN 46202
(317) 577-4200
✔ PECOS✔ Accepts Medicare1,802 mi
Anesthesiology
NPI 1629067509
3000 ARLINGTON AVE
Toledo, OH 43614
(419) 383-3556
✔ PECOS✔ Accepts Medicare1,918 mi
Anesthesiology
NPI 1871169953
169 ASHLEY AVE RM 202
Charleston, SC 29425
(843) 792-2322
✔ PECOS✔ Accepts Medicare2,269 mi
Anesthesiology
NPI 1437368834
1600 HADDON AVE
Camden, NJ 08103
(856) 757-3500
✔ PECOS✔ Accepts Medicare2,378 mi
Anesthesiology
NPI 1376640045
1 JARRETT WHITE RD
Tripler Army Medical Center, HI 96859
(808) 433-6661
✔ PECOS✔ Accepts Medicare2,545 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 South Tahoe Anesthesia Medical Group's NPI number?

The NPI number for South Tahoe Anesthesia Medical Group is 1962513770. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is South Tahoe Anesthesia Medical Group located?

South Tahoe Anesthesia Medical Group is located at 2170 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 542-3000.

What is South Tahoe Anesthesia Medical Group's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is South Tahoe Anesthesia Medical Group enrolled in Medicare?

Yes. South Tahoe Anesthesia Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Tahoe Anesthesia Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 2 Medicare specialties reassign their Medicare billing to South Tahoe Anesthesia Medical Group. 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 Anesthesiology (17) and Pain Management (1). 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 South Tahoe Anesthesia Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.