Active NPI
Robin P Renfroe, MD
- Pediatrics Physician
- Wethersfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 79878
- Practice address
- 1331 Silas Deane Hwy
Wethersfield, CT 06109-4346 - Phone
- (860) 529-9933
- Fax
- (860) 529-7156
- NPI assigned
- Aug 26, 2005
- Last updated
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 79878 | CT | Primary |
Addresses
Primary practice location
1331 Silas Deane Hwy
Wethersfield, CT 06109-4346
Mailing address
1331 Silas Deane Hwy
Wethersfield, CT 06109-4346
Phone (860) 529-9933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| Prohealth Physicians PC | Pediatrics | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Altapointe Health Systems, Inc | Current | Accepting new patients |
Locations
13833 Tapia Ave
Bayou Labatre, AL 36509
Phone (251) 824-4985
2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660
5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
1331 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 529-9933
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mobile, AL
- NPI 1518095413
-
dba Accordia Health
- Federally Qualified Health Center (FQHC)
- Bayou la Batre, AL
- NPI 1972083012
-
dba Accordia Health- South Baldwin
- Federally Qualified Health Center (FQHC)
- Foley, AL
- NPI 1003707332
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1063405744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094346",
"telephone_number": "860-529-9933",
"fax_number": "860-529-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094346",
"telephone_number": "860-529-9933",
"fax_number": "860-529-7156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFROE",
"first_name": "ROBIN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "79878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.