NPIMap

Individual provider Active NPI

Luis E Palacio, MD

  • Sports Medicine (Family Medicine) Physician
  • Reno, NV
National Provider Identifier
1659486330
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
13303 Issued in NV
Practice address
101 E Stadium Way
Reno, NV 89557-7917
Phone
(775) 982-1000
Fax
(775) 982-8045
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 13303 NV Primary

Addresses

Primary practice location

101 E Stadium Way
Reno, NV 89557-7917

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262

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
I20091113000184 NV Practitioner - Sports MedicinePractitioner - Family Practice 3375541873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E Stadium Way
Reno, NV 89557
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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Medical School Associates North, Inc. CurrentSince Jan 10, 2023 Accepting new patients
Renown Medical School Associates North, Inc. Sports Medicine Current Accepting new patients
Hometown Health Management Company CurrentSince Sep 6, 2016 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Jan 10, 2023 Accepting new patients
Community Care Services LLC CurrentSince Sep 6, 2016 Accepting new patients
Community Care Services LLC CurrentSince Sep 6, 2016 Accepting new patients
Hometown Health Management Company Sports Medicine CurrentSince Sep 6, 2016 Accepting new patients
Hallmark Health System Inc Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Lawrence General Hospital Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

1343 Newlands Dr W
Fernley, NV 89408
Phone (775) 575-3600

1500 E 2nd St
Ste 201
Reno, NV 89502
Phone (775) 982-3355

4791 Summit Ridge Dr
Reno, NV 89523
Phone (775) 624-2200

850 Harvard Way
Reno, NV 89502

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

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

1155 Mill St
#14
Reno, NV 89502

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: lpalacio24567@direct.renown.org

Organizations & group practices 12

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1659486330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E STADIUM WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895577917",
            "telephone_number": "775-982-1000",
            "fax_number": "775-982-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO",
        "first_name": "LUIS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NV",
            "license": "13303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.