William Max Ndegwa Rennebohm, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A189007 Issued in CA

Practice address

15477 Ventura Blvd Ste 300
Sherman Oaks, CA 91403-3068

Phone

(188) 907-0322

Fax

(188) 907-0360

NPI assigned

Dec 2, 2018

Reactivated

Apr 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• William Max Rennebohm Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Family Practice

Education

University of Washington School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
• Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1831199454

  Family Medicine

  Medicare reassignment NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Auburn, WA
  • NPI 1730186966

  Family Medicine

  NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1770471377
  NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  • Family Medicine Physician
  • Kent, WA
  • NPI 1811949928
  NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1891795621

  Family Medicine

  NPD (past)
• Multicare Health System

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1013969195
  NPD (past)
• Rockwood Clinic PS

  • Internal Medicine Physician
  • Spokane, WA
  • NPI 1417953787

  Family Medicine

  NPD (past)
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1083939003
  NPD (past)

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

• Multicare Health System

  • General Acute Care Hospital
  • Auburn, WA
  • NPI 1255327201
  Care Compare affiliation
• Multicare Health System

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1104396241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD STE 300",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033068",
            "telephone_number": "188-907-0322",
            "fax_number": "188-907-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD STE 300",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033068",
            "telephone_number": "188-907-0322",
            "fax_number": "188-907-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 16th Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225636",
            "country_code": "US",
            "telephone_number": "206-320-2484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26401 Pacific Hwy S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981989247",
            "country_code": "US",
            "telephone_number": "877-233-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDEGWA RENNEBOHM",
        "first_name": "WILLIAM",
        "middle_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-02",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "deactivation_date": "2019-11-13",
        "reactivation_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61317317",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A189007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "26401 Pacific Hwy S Ste 102",
            "city": "Des Moines",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981989247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "RENNEBOHM",
            "middle_name": "MAX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Farzana Nayana
• Natalie Nazaretian
• Alireza Kaveh Nazemi, MD, MS
• Shiva Nazemi, DC
• Nca Home Health Care,Inc.
• Neal Handel M.D., a Professional Corporation
• Parissa Neamati, D.C.
• Suzan Nedjati
• Rachael A Neel, MS
• Nefeli Hospice, Inc.

• Family Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.