Douglas E Rennels, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

17292 Issued in NE

Practice address

7822 Davenport St
Omaha, NE 68114-3629

Phone

(402) 391-4855

Fax

(402) 391-6818

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diagnostic & Int Med Assoc PC

  • Internal Medicine Physician
  • Council Bluffs, IA
  • NPI 1104870690
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1023191608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7822 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143629",
            "telephone_number": "402-391-4855",
            "fax_number": "402-391-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7822 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143629",
            "telephone_number": "402-391-4855",
            "fax_number": "402-391-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNELS",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NE",
            "license": "17292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050024929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "088553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Sue Renken, M.S.
• Robin Lee Renken, PHARM.D.
• Aaron Renkenberger
• Caitlin Renn, MD
• Stephen I Rennard, MD
• Kaylie Michelle Renner
• Brianna Renninger
• Samer Ibrahim Renno, M.D.
• Courtney Reno
• Emma Claire Reno, DDS

• Pain Medicine (Anesthesiology) Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Pain Medicine (Anesthesiology) Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.