Renown Primary Care – Family Medicine Physician, NPI 1861445892
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Renown Primary Care
1595 Robb Dr Ste 2
Reno, NV 895233527
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
4796 Caughlin Pkwy Ste 108
Reno, NV 895190910
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
101 E Stadium Way
Reno, NV 895576692
Phone: (775) 982-1000
Fax: (775) 982-8045
Type: Location
202 Los Altos Pkwy
Sparks, NV 894367708
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
13945 S Virginia St Ste 632
Reno, NV 895118930
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
1075 N Hills Blvd Ste 180
Reno, NV 895066799
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
740 Del Monte Ln Ste 3
Reno, NV 895117508
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
2300 S Carson St Ste 1
Carson City, NV 897014528
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
661 Sierra Rose Dr
Reno, NV 895112060
Phone: (775) 982-8255
Fax: (775) 982-8251
Type: Location
75 Pringle Way Ste 601
Reno, NV 895021472
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
10085 Double R Blvd Ste 220
Reno, NV 895213855
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
6570 S McCarran Blvd
Reno, NV 895096112
Phone: (775) 982-8256
Fax: (775) 982-8251
Type: Location
10085 Double R Blvd Ste 120
Reno, NV 895214867
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
910 Vista Blvd
Sparks, NV 894346501
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
25 McCabe Dr
Reno, NV 895115991
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
1155 MILL ST # M14
RENO, NV 895021576
Phone: (775) 982-5262
Fax: (775) 982-5496
Type: Mailing
1525 LOS ALTOS PKWY
SPARKS, NV 894366692
Phone: (775) 982-5000
Fax: (775) 982-3900
Type: Location
850, Harvard Way, Reno, Washoe County, Nevada, 89502, United States
RENO, NV 895022055
Phone: (775) 982-5262
Fax: (775) 982-5496
Type: Mailing
Renown Health Urgent Care - Ryland, 975, Ryland Street, Reno, Washoe County, Nevada, 89502, United States
SUITE 100
RENO, NV 895021667
Phone: (775) 982-5000
Fax: (775) 982-5220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (857 days ago).
Enrollment records
1
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130604000507 | O | Mass Immunization (Roster Biller Only) | NV | 2024-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89523)
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