Renown South Meadows Medical Center
Organization Active NPI General Acute Care Hospital · Reno, NV
NPI 1720058027 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1720058027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 2373HOS-17 (NV)
- Legal business name
- RENOWN SOUTH MEADOWS MEDICAL CENTER
- Practice address
- 10101 Double R Blvd
Reno, NV 89521-5931 - Phone
- (775) 982-7000
- Fax
- (775) 982-7089
- NPI assigned
- Jan 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Brett Moore
- Title
- Cfo Acute Care
- Phone
- (775) 982-6343
Other NPIs with the same Medicare PAC ID 2
Subparts reporting this organization as parent 2
Related certifications (CCN) 1
Facilities with the same owner 5
Practitioners 17
-
Hasmik Minasyan Al Danaf, M.D.
-
Julia K Christopher, D.O.
-
Aaron Edward Falk, M.D.
-
Subani Gautam, M.D.
-
Amanda Susan Hurd, D.O.
-
Natalie Marie Lewman, D.O.
-
Henderson Valencia Lopez, M.D.
-
Asem Ali Mutasher, M.D.
-
Nirmala Sneha Surapaneni, M.D.
-
Selma Rashid, M.D.
Affiliated clinicians 900
-
Lisa G Abbott, MD
-
Nael Neil Aboul-Hosn, D.O.
-
Cheruba Abraham, M.D.
-
Anetta Adams, APRN
-
Waqaar Ahmad, M.D.
-
Ryan James Aiazzi, MSN, APRN, FNP-C
-
Hasmik Minasyan Al Danaf, M.D.
-
Jad Al Danaf, M.D.,M.P.H.
-
Haval Ali, MD
-
Shaheen S Ali, M.D.
-
Christina Alsop, APRN
-
Amy Elizabeth Alspach, M.D.
-
Erica Lee Ambers, APRN
-
Santhosh Ambika, MD
-
Samia Amjad, MD
-
Teresa Angermann, DO
-
Cheyanne Ania Annis, PA-S
Medicare Care Compare: Hospital
- Listed as
- Renown South Meadows Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Hospital certification: CCN 290049
- Legal name
- RENOWN SOUTH MEADOWS MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Feb 1, 2004
- Last certification
- May 3, 2022
- Beds
- 118 (98 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 3, 2002 in NV
- Enrollment address
- 10101 Double R Blvd
Reno, NV 89521-5931 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher J Ott |
Corporate Director |
Jan 1, 2026 | |
| Brian E Sandoval |
Corporate Director |
Jan 1, 2022 | |
| Rebecca Cross |
W-2 Managing Employee | Feb 2, 2026 | |
| Jeff D Eller |
Corporate Director |
Jan 1, 2005 | |
| Adam O Kramer |
Corporate Director |
Jul 1, 2017 | |
| Bijel K Doshi |
Corporate Director |
Jan 1, 2022 | |
| Brian F Erling |
Corporate Officer |
Nov 14, 2022 | |
| Corporate Director |
Nov 14, 2022 | ||
| Stephanie D Lepori |
Corporate Director |
Apr 1, 2023 | |
| Brett Moore |
Corporate Officer |
Jul 12, 2021 | |
| W-2 Managing Employee |
Jul 12, 2021 | ||
| Renown Health |
5% Or Greater Direct Ownership Interest | Sep 3, 2002 | 100% |
| Anna Loomis |
Corporate Officer |
Jul 8, 2024 | |
| W-2 Managing Employee |
Jul 8, 2024 | ||
| Thomas Deveny |
Corporate Director | Jan 1, 2017 | |
| Samuel Weller |
W-2 Managing Employee |
Jun 26, 2023 | |
| Tamara Dermody |
Corporate Director |
Jan 1, 2019 | |
| Marc W Mora |
Corporate Director |
Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218000152 | NV | Part a Provider - Hospital | 1355236449 | Practice locations: Sparks, NV; Reno, NV |
National Provider Directory
Locations
1155 Mill St
Ofc N12
Reno, NV 89502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2373HOS-17 | NV | Yes |
Addresses
Primary practice location
10101 Double R Blvd
Reno, NV 89521-5931
Mailing address
1155 Mill St
Central Business Office N-12
Reno, NV 89502-1576
Phone (775) 982-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XHSP43672 | Medicaid | CA | |
| XHSP33672 | Medicaid | CA | |
| 100502742 | Medicaid | NV | |
| CC7515 | Other | NV | BCBS |
| 290049 | Other | CA | BLUE CROSS OF CA |
| 100502741 | Medicaid | NV | |
| V100380 | Other | MEDICARE PART B |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Reno, NV
- Renown Regional Medical Center
- Renown Regional Medical Center
- Renown Regional Medical Center
- Renown South Meadows Medical Center
- Renown South Meadows Medical Center
- Renown Surgery Centers LLC
- Renown Transitional Care Services
- Renown Transitional Care Services
- Renown Urgent Care LLC
- Renown X-Ray & Imaging
All providers in Reno, NV · General Acute Care Hospital in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.