NPIMap

Individual provider Active NPI

Harry L Renco, MD

  • Internal Medicine Physician
  • Prospect, KY
National Provider Identifier
1124093075
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32253 Issued in KY
Practice address
9517 US Highway 42 Ste 410
Prospect, KY 40059-9237
Phone
(502) 587-0521
Fax
(502) 587-3890
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32253 KY Primary

Addresses

Primary practice location

9517 US Highway 42 Ste 410
Prospect, KY 40059-9237

Mailing address

9517 US Highway 42 Ste 410
Prospect, KY 40059-9237
Phone (502) 587-0521

Other identifiers 1

IdentifierTypeStateIssuer
64322530MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715001051 KY Practitioner - Internal Medicine 2062544703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Louisville Internal Medicine PSCGroup PAC ID 9032191143, 8 clinicians

Practice addresses (Care Compare)

9517 US Hwy 42
Prospect, KY 40059-9237
Phone 50258705218

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: harry.renco.1@14845.direct.athenahealth.com

Organizations & group practices 1

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1124093075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 US HIGHWAY 42 STE 410",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599237",
            "telephone_number": "502-587-0521",
            "fax_number": "502-587-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 US HIGHWAY 42 STE 410",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599237",
            "telephone_number": "502-587-0521",
            "fax_number": "502-587-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENCO",
        "first_name": "HARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64322530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.