NPIMap

Individual provider Active NPI

Brian Richard Passalacqua, M.D.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1144344599
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6822 Issued in NV
Practice address
123 17TH Street
Brigham BLDG. Mail Stop 316
Reno, NV 89557
Phone
(775) 784-1533
Fax
(775) 784-8075
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6822 NV Primary

Addresses

Primary practice location

123 17TH Street
Brigham BLDG. Mail Stop 316
Reno, NV 89557

Mailing address

401 West 2ND Street
#227, Nelson BLDG. Ms 353
Reno, NV 89503
Phone (775) 784-1223

Other identifiers 1

IdentifierTypeStateIssuer
100506503MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000185 NV Practitioner - Family PracticePractitioner - Emergency Medicine 9234158163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

745 W Moana LN
Reno, NV 89509-4991
Phone (775) 982-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Medical School Associates North, Inc. Family Medicine Current Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Oct 16, 2007 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Oct 16, 2007 Accepting new patients
Hometown Health Management Company Family Medicine Current Accepting new patients
Renown Regional Medical Center Past Accepting new patients
St. Mary'S Regional Medical Center Past Accepting new patients
OB-GYN Associates LTD Past Accepting new patients
PHC-Elko Inc Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

762 14th St
Elko, NV 89801
Phone (775) 738-5850

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

745 W Moana Ln
Reno, NV 89509
Phone (775) 334-3033

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

123 17th St
Reno, NV 89557
Phone (775) 784-6180

890 Mill St
Ste 102
Reno, NV 89502
Phone (775) 322-2731

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

101 E Stadium Way
Reno, NV 89557
Phone (775) 982-1000

Interoperability endpoints

  • Direct secure messaging: bpassalacqua975@direct.renown.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1144344599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WEST 2ND STREET",
            "address_2": "#227, NELSON BLDG. MS 353",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-784-1223",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 17TH STREET",
            "address_2": "BRIGHAM BLDG. MAIL STOP 316",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89557",
            "telephone_number": "775-784-1533",
            "fax_number": "775-784-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSALACQUA",
        "first_name": "BRIAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506503",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.