Individual provider Active NPI

Michael Leonard Renda, D.O.

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1104239946
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS15804 Issued in FL
Practice address
11760 SW 40TH St Ste 722
Miami, FL 33175-8101
Phone
(941) 724-0159
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS15804 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 722
Miami, FL 33175-8101

Mailing address

11760 SW 40TH St Ste 722
Miami, FL 33175-8101
Phone (941) 724-0159

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.renda@hcahealthcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200616001998 FL Practitioner - General Surgery 9739441213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Healthcare Specialists LLCGroup PAC ID 4789750118, 47 clinicians

Practice addresses (Care Compare)

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 559-1334

11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 223-3000

2402 Frist Blvd
Fort Pierce, FL 34950-4838
Phone (772) 462-3939

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150
  • Fishermen'S Community Hospital Hospital, Marathon, FL, CCN 101312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15804FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Healthcare Specialists LLC CurrentSince Jul 1, 2020 Accepting new patients
Rowan University School of Osteopathic Medicine Past Accepting new patients

Locations

2402 Frist Blvd
Ste 204
Fort Pierce, FL 34950
Phone (772) 466-1113

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11760 SW 40th St
Ste 301
Miami, FL 33175
Phone (305) 226-2020

11760 SW 40th St
Ste 722
Miami, FL 33175
Phone (305) 559-1883

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: michael.renda@hca4.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1104239946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758101",
            "telephone_number": "941-724-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758101",
            "telephone_number": "941-724-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDA",
        "first_name": "MICHAEL",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS15804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.renda@hcahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11760 SW 40th St Ste 722",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331758101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.