NPIMap

Organization Active NPI

Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
National Provider Identifier
1124098421
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
669HOS-13 Issued in NV
Legal business name
RENOWN REGIONAL MEDICAL CENTER
Practice address
1155 Mill Street
Reno, NV 89502-1474
Phone
(775) 982-4100
Fax
(775) 982-4900
NPI assigned
Jan 26, 2006
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 669HOS-13 NV Primary

Addresses

Primary practice location

1155 Mill Street
Reno, NV 89502-1474

Mailing address

1155 Mill St
Central Business Office N-12
Reno, NV 89502-1576
Phone (775) 982-6615

Other identifiers 9

IdentifierTypeStateIssuer
290001OtherCABLUE CROSS
CC6040OtherNVBCBS
USA291780OtherCAWMC CALIFORNIA BLUE SHLD
001116885MedicaidNV
HSP60171FMedicaidCA
ZZR20171FMedicaidCA
001216885MedicaidNV
V100176OtherNVMEDICARE ROSTER BILLING
VW29000101OtherMEDICARE PART B

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050210000110 NV Part B Supplier - Mass Immunization (Roster Biller Only) 9931005337 Practice locations: Reno, NV
O20070219000670 NV Part A Provider - Hospital 9931005337 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124098421. Details of each certification follow.

Hospital certification: CCN 290001

Legal name
RENOWN REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 2, 2021
Beds
808 (601 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 29, 1985 in NV
Enrollment address
1155 Mill St
Reno, NV 89502-1576
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Renown Regional Medical CenterCCN 290001 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations (25 of 27)

1190 W Olive Ave
Ste L
Merced, CA 95348
Phone (209) 722-0831

1324 Nelson Ave
Ste B
Modesto, CA 95350
Phone (209) 524-9481

8120 Timberlake Way
Ste 101
Sacramento, CA 95823
Phone (916) 423-2123

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

8700 Beverly Blvd
#B220
West Hollywood, CA 90048
Phone (310) 423-5252

755 N Roop St
Ste 112
Carson City, NV 89701
Phone (775) 883-7938

Virtual Visits Only Provider
Carson City, NV 89712

1020 New River Pkwy
Ste 200
Fallon, NV 89406
Phone (775) 428-2633

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

1155 Mill St
Ofc N12
Reno, NV 89502

236 W 6th St
Ste 303
Reno, NV 89503
Phone (775) 337-8400

236 W 6th St
Ste 307
Reno, NV 89503
Phone (775) 323-8500

3400 Kauai Ct
Ste 100
Reno, NV 89509
Phone (775) 825-2355

4796 Caughlin Pkwy
Ste 108
Reno, NV 89519
Phone (775) 828-7525

5335 Reno Corporate Dr
Ste 100
Reno, NV 89511
Phone (757) 432-6282

5375 Reno Corporate Dr
Reno, NV 89511
Phone (775) 376-9426

5448 Reno Corporate Dr
Reno, NV 89511
Phone (775) 993-9292

5456 Reno Corporate Dr
Reno, NV 89511
Phone (775) 825-0285

5465 Reno Corporate Dr
Ste 100
Reno, NV 89511
Phone (775) 327-4673

6630 S McCarran Blvd
Ste A4
Reno, NV 89509
Phone (775) 282-2873

730 Willow St
Reno, NV 89502
Phone (775) 358-3336

75 Pringle Way
Ste 106
Reno, NV 89502
Phone (775) 982-5094

75 Pringle Way
Ste 301
Reno, NV 89502
Phone (775) 686-4300

85 Kirman Ave
Ste 100
Reno, NV 89502
Phone (775) 982-2862

850 Mill St
Ste 301
Reno, NV 89502
Phone (775) 562-1115

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian E Sandoval Individual Corporate DirectorBoard Member Jan 1, 2022
Adam O Kramer Individual Corporate DirectorVice Chair Aug 1, 2017
Bijel K Doshi Individual Corporate DirectorBoard Member Jan 1, 2022
Brian F Erling Individual Corporate OfficerCeo & President Nov 14, 2022
Corporate Director Nov 14, 2022
Stephanie D Lepori Individual Corporate Director Apr 1, 2023
Christopher Nicholas Individual Corporate OfficerCeo of Renown Regional Jul 1, 2022
W-2 Managing EmployeeCeo of Renown Regional Jul 1, 2022
Brett Moore Individual Corporate OfficerCfo Acute Care Jul 12, 2021
W-2 Managing EmployeeCfo Acute Care Jul 12, 2021
Renown Health Organization, Reno, NV Corporation, Medical provider/supplier, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 16, 2006
Jeffrey Resnik Individual Corporate DirectorBoard Member Chair Jan 1, 2013
Anna Loomis Individual Corporate OfficerCfo Renown Health Jul 8, 2024
W-2 Managing EmployeeAd; Jul 8, 2024
Thomas Deveny Individual Corporate Officer Jan 1, 2017
Tamara Dermody Individual Corporate DirectorDirector Jan 1, 2019
Marc W Mora Individual Corporate Director Jan 1, 2020

Practitioners & affiliated clinicians

Practitioners 524

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 524

Affiliated clinicians 1,590

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,590

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1124098421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "address_2": "CENTRAL BUSINESS OFFICE N-12",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-6615",
            "fax_number": "775-982-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL STREET",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021474",
            "telephone_number": "775-982-4100",
            "fax_number": "775-982-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOWN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NV",
            "license": "669HOS-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "290001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CC6040",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC CALIFORNIA BLUE SHLD",
            "identifier": "USA291780",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001116885",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP60171F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR20171F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001216885",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ROSTER BILLING",
            "identifier": "V100176",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "VW29000101",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.