Individual provider Active NPI

Cynthia A. Renfrow, PA-C

  • Physician Assistant
  • Springboro, OH
National Provider Identifier
1063732394
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50000602 Issued in OH
Practice address
825 N Main St Ste 120
Springboro, OH 45066-2100
Phone
(937) 762-5030
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50000602 OH Primary

Addresses

Primary practice location

825 N Main St Ste 120
Springboro, OH 45066-2100

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

909 E 2nd St
Franklin, OH 45005-1700
Phone (937) 746-8357 ext. 113

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address crenfrow195543@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000020 OH Practitioner - Physician Assistant 3173654282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

3095 Dayton Xenia Rd
Suite 100
Beavercreek, OH 45434-4310
Phone (937) 531-7902

50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 562-2280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Sep 15, 2011 Accepting new patients
Alliance Physicians Inc CurrentSince Sep 15, 2011 Accepting new patients
Franklin Medical Group Past Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 531-7902

101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020

100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700

909 E 2nd St
Franklin, OH 45005
Phone (937) 746-8357

8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309

424 E Stroop Rd
Unit B
Kettering, OH 45429
Phone (937) 562-2300

1827 Woodman Center Dr
Kettering, OH 45420
Phone (937) 558-3223

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

825 N Main St
Ste 120
Springboro, OH 45066
Phone (937) 762-5030

1028 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 281-6340

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

50 N Progress Dr
Xenia, OH 45385
Phone (937) 352-2850

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1063732394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST STE 120",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662100",
            "telephone_number": "937-762-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "OH",
            "postal_code": "450051700",
            "country_code": "US",
            "telephone_number": "937-746-8357 x113",
            "fax_number": "937-746-1992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENFROW",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crenfrow195543@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "909 E 2nd St",
            "city": "Franklin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450051700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "825 N Main St Ste 120",
            "city": "Springboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450662100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.