NPIMap

Individual provider Active NPI

Paul R Smith, MD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1912093964
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8731 Issued in NV
Practice address
5542 Longley LN
Reno, NV 89511-1886
Phone
(775) 321-1044
Fax
(855) 312-3259
NPI assigned
Oct 5, 2006
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 8731 NV Primary

Addresses

Primary practice location

5542 Longley LN
Reno, NV 89511-1886

Mailing address

PO Box 19955
Reno, NV 89511-2587
Phone (775) 321-1044

Other practice location 1

7111 S Virginia St
Reno, NV 89511-1115
Phone (775) 851-5700

Other identifiers 1

IdentifierTypeStateIssuer
2016315MedicaidNV

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
I20100222000201 NV Practitioner - Family Practice 3476641085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sugar Pine Family Medicine PC Paul Smith MD Et AlGroup PAC ID 6406137025, 3 clinicians

Practice addresses (Care Compare)

5542 Longley LN
Reno, NV 89511-1886
Phone (775) 321-1044

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Pine Family Medicine P.C., Paul Smith, MD, Et Al Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

5542 Longley Ln
Reno, NV 89511
Phone (775) 321-1044

Interoperability endpoints

  • Direct secure messaging: paul.smith.1@14937.direct.athenahealth.com

Organizations & group practices 2

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1912093964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19955",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112587",
            "telephone_number": "775-321-1044",
            "fax_number": "855-312-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111886",
            "telephone_number": "775-321-1044",
            "fax_number": "855-312-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7111 S Virginia St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895111115",
            "country_code": "US",
            "telephone_number": "775-851-5700",
            "fax_number": "775-851-5727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "8731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016315",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.