Individual provider Active NPI

Emily Blanche Sagalyn, MD

  • Emergency Medicine Physician
  • Reno, NV
National Provider Identifier
1194886408
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14709 Issued in NV
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(775) 324-4040
NPI assigned
Dec 12, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 14709 NV Primary

Addresses

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

PO Box 11276
Reno, NV 89510-1276
Phone (775) 324-4040

Other practice location 1

30 N 1900 E
Rm 1C26
Salt Lake City, UT 84132-0002
Phone (801) 581-2417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130522000611 NV Practitioner - Emergency Medicine 6800911223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14709NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brown, Calvanese, Cameron LTD Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
University of Utah Emergency Physicians Past Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine Past Accepting new patients
University of Utah Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

832 Willow St
Reno, NV 89502
Phone (775) 324-4040

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1194886408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11276",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895101276",
            "telephone_number": "775-324-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-324-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 1900 E",
            "address_2": "Rm 1C26",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320002",
            "country_code": "US",
            "telephone_number": "801-581-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGALYN",
        "first_name": "EMILY",
        "middle_name": "BLANCHE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "14709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.