NPIMap

Individual provider Active NPI

Daniel Spogen, M.D.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1902984313
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4740 Issued in NV
Practice address
123 17TH Street
Brigham BLDG./Mail Stop 316
Reno, NV 89557-0001
Phone
(775) 784-1533
Fax
(775) 784-8075
NPI assigned
Nov 2, 2006
Last updated
Mar 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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 4740 NV Primary

Addresses

Primary practice location

123 17TH Street
Brigham BLDG./Mail Stop 316
Reno, NV 89557-0001

Mailing address

401 W 2ND St
235F
Reno, NV 89503-5345
Phone (775) 784-1223

Other identifiers 1

IdentifierTypeStateIssuer
002016297MedicaidNV

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
I20041129000681 NV Practitioner - Family Practice 0042275356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1980
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4740NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Medical School Associates North, Inc. CurrentSince Nov 1, 2004 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Oct 27, 2024 Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Oct 27, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Family Medicine CurrentSince Nov 1, 2004 Accepting new patients
Renown Medical School Associates North, Inc. Family Medicine Current Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Hometown Health Management Company Family Medicine Past Accepting new patients
Nevada Health Centers Inc. Past Accepting new patients

Locations

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

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

1664 N Virginia St
Stop 1332
Reno, NV 89557

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

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

Interoperability endpoints

  • Direct secure messaging: dspogen1151@direct.renown.org

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health AllianceReno, NV, CCN 291809 Federally qualified health center Corporate Director Aug 1, 2016
Community Health AllianceReno, NV, CCN 291868 Federally qualified health center Corporate Director Aug 1, 2016
Community Health AllianceReno, NV, CCN 291843 Federally qualified health center Corporate Director Aug 1, 2016
Community Health AllianceSun Valley, NV, CCN 291845 Federally qualified health center Corporate Director Aug 1, 2016
Community Health AllianceReno, NV, CCN 291850 Federally qualified health center Corporate Director Aug 1, 2016
Community Health AllianceSparks, NV, CCN 291853 Federally qualified health center Corporate Director Aug 1, 2016
Community Health AllianceReno, NV, CCN 291866 Federally qualified health center Corporate Director Aug 1, 2016

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1902984313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 2ND ST",
            "address_2": "235F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035345",
            "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": "895570001",
            "telephone_number": "775-784-1533",
            "fax_number": "775-784-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOGEN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016297",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.