Individual provider Active NPI

Benjamin D. Gill, DO, MBA

  • Interventional Pain Medicine Physician
  • Reno, NV
National Provider Identifier
1356801435
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
CL0724 Issued in NV
Practice address
5578 Longley LN
Reno, NV 89511-1825
Phone
(775) 284-8650
NPI assigned
Mar 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 13268767-1204 UT
Physical Medicine & Rehabilitation Physician 208100000X 2922 NE
Interventional Pain Medicine Physician 208VP0014X 2922 NE
Interventional Pain Medicine Physician 208VP0014X CL0724 NV Primary

Addresses

Primary practice location

5578 Longley LN
Reno, NV 89511-1825

Mailing address

5578 Longley LN
Reno, NV 89511-1825
Phone (775) 284-8650

Other practice location 1

13340 California St Ste 101
Omaha, NE 68154-5255
Phone (402) 614-1999

Other practice location 2

615 S Arapeen Dr Ste 100
Salt Lake City, UT 84108-1239
Phone (801) 581-2121

Other practice location 3

3901 Rainbow Blvd # MS 2027
Kansas City, KS 66160-8500
Phone (913) 588-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240806003625 NE Practitioner - Pain ManagementPractitioner - Anesthesiology 1052646650 Reassigns benefits to 1 organization
I20251117003188 NV Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1052646650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denis G Patterson D O P CGroup PAC ID 7012060528, 6 clinicians

Practice addresses (Care Compare)

5578 Longley LN
Reno, NV 89511-1825
Phone (775) 284-8650

Hospital & facility affiliations

  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
68.81
Promoting interoperability
100
Improvement activities
40
Cost
68.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
13268767-1204UTMDPain Medicine (Anesthesiology) Physician
CL0724NVMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denis G Patterson D O P C Physical Medicine & Rehabilitation CurrentSince Nov 1, 2025 Accepting new patients
Pain Centers of the Midlands LLC Pain Medicine CurrentSince Aug 12, 2024 Accepting new patients
Michael H Song MD LTD Pain Medicine CurrentSince Oct 5, 2025 Accepting new patients
Dr Glenn J Bricken & Assoc P C CurrentSince Jul 1, 2024 Accepting new patients
Michael H Song MD LTD Pain Medicine CurrentSince Oct 5, 2025 Accepting new patients

Locations

13340 California St
Ste 101
Omaha, NE 68154
Phone (402) 614-1999

1470 Medical Pkwy
Ste 240
Carson City, NV 89703
Phone (775) 323-6100

2874 N Carson St
Ste 220
Carson City, NV 89706

5578 Longley Ln
Reno, NV 89511

2385 E Prater Way
Ste 204
Sparks, NV 89434
Phone (775) 845-8650

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12153/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 2

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1356801435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111825",
            "telephone_number": "775-284-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111825",
            "telephone_number": "775-284-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13340 California St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681545255",
            "country_code": "US",
            "telephone_number": "402-614-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 S Arapeen Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081239",
            "country_code": "US",
            "telephone_number": "801-581-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Rainbow Blvd # MS 2027",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "913-588-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "BENJAMIN",
        "middle_name": "D.",
        "credential": "DO, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "13268767-1204",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "2922",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NE",
            "license": "2922",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "CL0724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.