Individual provider Active NPI

Robin P Renfroe, MD

  • Pediatrics Physician
  • Wethersfield, CT
National Provider Identifier
1063405744
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
79878 Issued in CT
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151026001937 FL Practitioner - Pediatric Medicine 6709195175
I20201124002399 AL Practitioner - Pediatric Medicine 6709195175 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
Prohealth Physicians PC Pediatrics CurrentSince Jan 13, 2025 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Altapointe Health Systems, Inc CurrentSince Jul 21, 2025 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.

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

Verify at the official NPI Registry.