Active NPI
Renee Genova
- Orthopaedic Trauma Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- ME143995
- Practice address
- 3030 Harden Blvd
Lakeland, FL 33803-7952 - Phone
- (863) 687-1250
- Fax
- (863) 687-1258
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | ME143995 | FL | Primary |
Addresses
Primary practice location
3030 Harden Blvd
Lakeland, FL 33803-7952
Mailing address
1324 Lakeland Hills Blvd
Managed Care Dept
Lakeland, FL 33805
Phone (863) 687-1100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgenova48735@LRHS.direct-ci.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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of South Carolina School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5000
Hospital & facility affiliations
- Baycare Home Care Inc
- Lakeland Regional Medical Center
- Winter Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME143995 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Orthopaedic Trauma | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Orthopaedic Trauma | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Integrity Spine and Orthopedics LLC | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rgenova452023@direct.shands.ufl.edu
- rgenova48735@lrhs.direct-ci.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
Orthopaedic Trauma
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1679733943
Orthopaedic Trauma
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1356108989
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bradenton, FL
- NPI 1295728186
-
- Home Health Agency
- Lakeland, FL
- NPI 1952309171
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1124318209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"address_2": "MANAGED CARE DEPT",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33805",
"telephone_number": "863-687-1100",
"fax_number": "863-630-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 HARDEN BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338037952",
"telephone_number": "863-687-1250",
"fax_number": "863-687-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENOVA",
"first_name": "RENEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "FL",
"license": "ME143995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgenova48735@LRHS.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3030 Harden Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338037952",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.