Individual provider Active NPI

Meredith Mary Renda, MD

  • Pediatrics Physician
  • Ridgefield, CT
National Provider Identifier
1023135290
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
47168 Issued in CT
Practice address
10 South St. Suite 206
Ridgefield, CT 06877-4125
Phone
(203) 431-3363
Fax
(203) 762-1999
NPI assigned
Mar 23, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 49846 MN
Pediatrics Physician 208000000X 47168 CT Primary

Addresses

Primary practice location

10 South St. Suite 206
Ridgefield, CT 06877-4125

Mailing address

55 Danbury Rd
Wilton, CT 06897-4427
Phone (203) 834-2436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47168CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Pediatric Partnership LLC Pediatrics CurrentSince Feb 2, 2025 Accepting new patients
Doctors Pediatric PC PastSince Feb 2, 2025 Accepting new patients

Locations

10 South St
Ste 206
Ridgefield, CT 06877
Phone (203) 431-3363

55 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3363

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCFAA/Endpoint/IJCFAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1023135290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974427",
            "telephone_number": "203-834-2436",
            "fax_number": "203-762-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST. SUITE 206",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774125",
            "telephone_number": "203-431-3363",
            "fax_number": "203-762-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDA",
        "first_name": "MEREDITH",
        "middle_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "49846",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "47168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.