Active NPI
Oded Rencus, M.D.
- Obstetrics & Gynecology Physician
- Chicopee, MA
National Provider Identifier
1063470292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 40502
- Practice address
- 444 Montgomery St
Chicopee, MA 01020-1969 - Phone
- (413) 594-3111
- Fax
- (413) 598-7041
- NPI assigned
- May 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 40502 | MA | Primary |
Addresses
Primary practice location
444 Montgomery St
Chicopee, MA 01020-1969
Mailing address
444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061783 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40502 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Community Services | Obstetrics & Gynecology | Past | Accepting new patients |
| Riverbend Medical Group, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1063470292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-594-3111",
"fax_number": "413-598-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-594-3111",
"fax_number": "413-598-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENCUS",
"first_name": "ODED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "40502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061783",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.