NPIMap

Organization Active NPI

Community Care Services LLC

Doing business as Renown Radiology

  • Diagnostic Radiology Physician
  • Reno, NV
National Provider Identifier
1053272989
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COMMUNITY CARE SERVICES LLC
Doing business as
Renown Radiology
Practice address
1155 Mill St # M-14
Reno, NV 89502-1576
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Nov 20, 2025
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOMETOWN HEALTH MANAGEMENT COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brett Moore
Title
Cfo Acute Care
Phone
(775) 982-6343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary
Vascular & Interventional Radiology Physician 2085R0204X

Addresses

Primary practice location

1155 Mill St # M-14
Reno, NV 89502-1576

Mailing address

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-5000

Other names 1

  • Renown Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MS, TX, FL, NJ, AZ, VA, CO, OR9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20060111000900 NV Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 762 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reno, NV; Carson City, NV; Sparks, NV; Winnemucca, NV; Fallon, NV; Fernley, NV
O20251008000014 MS Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Madison, MS
O20251107003594 TX Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lubbock, TX
O20251111000528 FL Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Myers, FL; Gainesville, FL; Miami, FL
O20251210001591 NJ Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 1 practitioner
Practice locations: Short Hills, NJ
O20251218002866 AZ Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gilbert, AZ; Mesa, AZ; Prescott, AZ; Scottsdale, AZ
O20260303003310 VA Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 2 practitioners
Practice locations: Virginia Beach, VA
O20260306001614 CO Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, CO
O20260407000215 OR Part B Supplier - Clinic/Group Practice 1951324318 Receives reassigned benefits from 2 practitioners
Practice locations: Bend, OR; Portland, OR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

National Provider Directory

National Provider Directory
Tax ID family
Institute for Heart Vasc21 organizations share this tax ID, including this one
Part of
Mark J Gaetke MD

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

801 E Williams Ave
#2208
Fallon, NV 89406
Phone (775) 867-7740

1107 US Highway 395 N
#B
Gardnerville, NV 89410
Phone (775) 782-1530

10085 Double R Blvd
Ste 310
Reno, NV 89521
Phone (775) 324-2234

1495 Mill St
Ste 100
Reno, NV 89502

15 McCabe Dr
Ste 200
Reno, NV 89511
Phone (775) 982-2862

745 W Moana Ln
Ste 105
Reno, NV 89509
Phone (775) 982-1000

75 Pringle Way
Ste 512
Reno, NV 89502
Phone (775) 329-1199

75 Pringle Way
Ste G11
Reno, NV 89502
Phone (775) 284-2010

85 Kirman Ave
Ste 301
Reno, NV 89502
Phone (775) 323-5116

Practitioners & affiliated clinicians

Practitioners 672

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 672

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1053272989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN HEALTH MANAGEMENT COMPANY",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CFO ACUTE CARE",
        "authorized_official_telephone_number": "775-982-6343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renown Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.