Active NPI
Renu Paneru, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Titusville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- MD487019
- Practice address
- 406 W Oak St
Titusville, PA 16354-1499 - Phone
- (814) 827-9770
- Fax
- (814) 827-3556
- NPI assigned
- Jul 15, 2022
- Last updated
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | MD487019 | PA | Primary |
Addresses
Primary practice location
406 W Oak St
Titusville, PA 16354-1499
Mailing address
406 W Oak St
Titusville, PA 16354-1499
Phone (814) 827-9770
Other practice location 1
116 Central Ave
Oil City, PA 16301-2736
Phone (814) 676-0431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Titusville Area Hospital
Practice addresses (Care Compare)
406 W Oak St
Titusville, PA 16354-1404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Oil Valley Internal Medicine Associates PC | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients |
Locations
116 Central Ave
Oil City, PA 16301
Phone (814) 676-0431
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Titusville, PA
- NPI 1316471212
-
- Rural Health Clinic/Center
- Oil City, PA
- NPI 1760976336
-
- Surgery Physician
- Titusville, PA
- NPI 1811589963
-
- Critical Access Hospital
- Titusville, PA
- NPI 1891899332
-
- Internal Medicine Physician
- Titusville, PA
- NPI 1598871550
-
- Audiologist
- Titusville, PA
- NPI 1306712104
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Titusville, PA
- NPI 1891899332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1093449845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 W OAK ST",
"city": "TITUSVILLE",
"state": "PA",
"postal_code": "163541499",
"telephone_number": "814-827-9770",
"fax_number": "814-827-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 W OAK ST",
"city": "TITUSVILLE",
"state": "PA",
"postal_code": "163541499",
"telephone_number": "814-827-9770",
"fax_number": "814-827-3556"
}
],
"practiceLocations": [
{
"address_1": "116 Central Ave",
"address_purpose": "LOCATION",
"city": "Oil City",
"state": "PA",
"postal_code": "163012736",
"country_code": "US",
"telephone_number": "814-676-0431",
"fax_number": "814-677-6342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANERU",
"first_name": "RENU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "PA",
"license": "MD487019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, PA
- Oil Creek Speech and Cognitive Rehab
- Oil Valley Internal Medicine Associates PC
- Oil Valley Physical Therapy Inc.
- Optical World 257 Inc. (optical world)
- Megan Dawn Orris, CPD
- Jeremy Thomas Parsons
- Penn Neuromuscular Diagnostics, LLC (PNDx)
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #05097)
- Autumn Storm Peterson
- Kelly Peterson, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.