Individual provider Active NPI

Doyle Land Renfroe, M. D.

  • Urology Physician
  • Oxford, MS
National Provider Identifier
1073682035
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
13909 Issued in MS
Practice address
1201 Medical Park Dr
Oxford, MS 38655-5327
Phone
(662) 234-1448
Fax
(662) 234-1103
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 13909 MS Primary

Addresses

Primary practice location

1201 Medical Park Dr
Oxford, MS 38655-5327

Mailing address

PO Box 1013
Oxford, MS 38655-1013
Phone (662) 234-1448

Other identifiers 1

IdentifierTypeStateIssuer
00120826MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000426 MS Practitioner - Urology 9234118472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Mississippi School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Urology Associates PLLCGroup PAC ID 1951336148, 17 clinicians

Practice addresses (Care Compare)

1201 Medical Park Dr
Oxford, MS 38655-5327
Phone (662) 234-1448

200 State Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 234-1448

2168 S Lamar
Oxford, MS 38655-5224

2168 S Lamar Blvd
Oxford, MS 38655-5224
Phone (662) 234-1448

5101 Sunwood Dr
Grenada, MS 38901-6627
Phone (662) 234-1448

PO Box
Suite 1013
Oxford, MS 38655-1013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13909MSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Urology Associates, PLLC Urology CurrentSince Aug 1, 2005 Accepting new patients
North Mississippi Medical Center Inc. CurrentSince Apr 17, 2024 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Apr 17, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients

Locations

5101 Sunwood Dr
Grenada, MS 38901
Phone (662) 234-1448

1201 Medical Park Dr
Oxford, MS 38655
Phone (622) 234-1448

2168 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1448

2301 S Lamar Blvd
Ste 120
Oxford, MS 38655
Phone (662) 234-1443

2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

499 Gloster Creek Vlg
Ste 4
Tupelo, MS 38801
Phone (662) 377-6470

Interoperability endpoints

  • Direct secure messaging: lrenfroe@urovive.emadirect.md
  • Direct secure messaging: doylerenfroe@nmhs.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1073682035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551013",
            "telephone_number": "662-234-1448",
            "fax_number": "662-234-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MEDICAL PARK DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555327",
            "telephone_number": "662-234-1448",
            "fax_number": "662-234-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROE",
        "first_name": "DOYLE",
        "middle_name": "LAND",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "13909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120826",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.