Individual provider Active NPI

Ann M Renucci, M.D.

  • Ophthalmology Physician
  • Grand Rapids, MI
National Provider Identifier
1124091087
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301079485 Issued in MI
Practice address
1000 E Paris Ave SE
Suite 130
Grand Rapids, MI 49546-3680
Phone
(616) 949-2001
Fax
(616) 949-8620
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301079485 MI
Ophthalmology Physician 207W00000X 4301079485 MI Primary

Addresses

Primary practice location

1000 E Paris Ave SE
Suite 130
Grand Rapids, MI 49546-3680

Mailing address

1000 E Paris Ave SE
Suite 130
Grand Rapids, MI 49546-3680
Phone (616) 949-2001

Other identifiers 1

IdentifierTypeStateIssuer
104457907MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040305000587 MI Practitioner - Ophthalmology 3971491549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verdier Eye Center PLCGroup PAC ID 0042203960, 9 clinicians

Practice addresses (Care Compare)

1000 E Paris Ave SE
Suite 130
Grand Rapids, MI 49546-3680
Phone 61694920011150

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
90.69 of 100Reported as group
Quality
94.84
Improvement activities
40
Cost
75.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Verdier Eye Center, PLC Specialist CurrentSince May 17, 2004 Accepting new patients
Metropolitan Hospital Ophthalmology Past Accepting new patients

Locations

1000 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 285-1800

1000 East Paris Ave SE
Ste LL1
Grand Rapids, MI 49546
Phone (616) 464-3430

1000 East Paris Ave SE
Ste 130
Grand Rapids, MI 49546
Phone (616) 949-2001

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ann.renucci.p1@direct.verdiereyecenter.nextgenshare.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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1124091087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-949-2001",
            "fax_number": "616-949-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-949-2001",
            "fax_number": "616-949-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENUCCI",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301079485",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301079485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104457907",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.