Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Zumwalt, MD

Individual provider Dermatology Physician · NPI 1275947764

Michael Zumwalt, MD is a Dermatology in Reno, Nevada. Graduated from Loma Linda University School of Medicine in 2014, 12 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Trained at
Loma Linda University School of Medicine
Licensed in
NV
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 W Moana Ln
Reno, NV 89509-4903
Phone: (775) 324-0699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3950 Gs Richards Blvd, Carson City, NV 89703-8457 — (775) 882-8777

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20704 (NV)

Record details

NPI number1275947764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address640 W Moana Ln, Reno, NV 89509-4903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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