PARAGON MEDICAL ALLIANCE LLC
NPI 1063236461
Internal Medicine - Geriatric Medicine in Reno, NV
About Paragon Medical Alliance Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARAGON MEDICAL ALLIANCE LLC (NPI 1063236461), doing business as Paragon Medical Practice, is a healthcare organization registered as a geriatric medicine in Reno, Nevada and active in the NPI registry since November 2024. The organization lists Minmin Song, Owner/executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paragon Medical Alliance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Paragon Medical Alliance LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paragon Medical Alliance LLC's NPI number?
The NPI number for Paragon Medical Alliance LLC is 1063236461. It was assigned to this organization in the NPPES registry on November 12, 2024. The provider is doing business as Paragon Medical Practice.
Where is Paragon Medical Alliance LLC located?
Paragon Medical Alliance LLC is located at 3690 Grant Dr Unit L2, Reno, NV 89509. The listed phone number is (775) 527-3621.
What is Paragon Medical Alliance LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Paragon Medical Alliance LLC enrolled in Medicare?
Yes. Paragon Medical Alliance LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Paragon Medical Alliance LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Paragon Medical Alliance LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Paragon Medical Alliance LLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Paragon Medical Alliance Llc · NPI 1063236461
Geriatric Medicine organization in Reno, Nevada. Organization record, active in the CMS NPPES registry since November 12, 2024.
## Identity
- **NPI:** 1063236461 (Entity type: Organization)
- **Enumerated:** November 12, 2024
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Also known as:** PARAGON MEDICAL PRACTICE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Minmin Song, OWNER/EXECUTIVE OFFICER
## Practice location
- **Address:** 3690 GRANT DR UNIT L2, Reno, NV 89509-5476
- **Phone:** (775) 527-3621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063236461) · Data from the CMS NPPES public registry.