Individual provider Active NPI

Tianbo Ren, MD

  • Diagnostic Radiology Physician
  • Columbia, MD
National Provider Identifier
1184855223
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0079305 Issued in MD
Practice address
8820 Columbia 100 Pkwy Ste 100
Columbia, MD 21045-2169
Phone
(410) 298-0454
Fax
(301) 694-2606
NPI assigned
Aug 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X D0079305 MD Primary

Addresses

Primary practice location

8820 Columbia 100 Pkwy Ste 100
Columbia, MD 21045-2169

Mailing address

10373A Reisterstown Road
Attn: Credentialing Department
Owings Mills, MD 21117-3617
Phone (443) 548-7595

Other practice location 1

6565 N Charles St
PPE Suite 203
Baltimore, MD 21204-6800
Phone (443) 849-2682

Other identifiers 1

IdentifierTypeStateIssuer
091327800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150602002048 MD Practitioner - Diagnostic Radiology 2769703735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

21 Crossroads Dr
Suite 100
Owings Mills, MD 21117-5484
Phone (443) 663-2100

Hospital & facility affiliations

  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079305MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology Current Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

8820 Columbia 100 Pkwy
Ste 100
Columbia, MD 21045
Phone (443) 436-4100

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

21 Crossroads Dr
Ste 100
Owings Mills, MD 21117
Phone (410) 353-8186

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Interoperability endpoints

  • Direct secure messaging: tren214924@direct.hopkinsmedicine.org
  • Direct secure messaging: tren979038@direct.umm.edu

Organizations & group practices 4

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 4

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184855223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373A REISTERSTOWN ROAD",
            "address_2": "ATTN: CREDENTIALING DEPARTMENT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173617",
            "telephone_number": "443-548-7595",
            "fax_number": "410-356-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 COLUMBIA 100 PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452169",
            "telephone_number": "410-298-0454",
            "fax_number": "301-694-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 N Charles St",
            "address_2": "PPE Suite 203",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046800",
            "country_code": "US",
            "telephone_number": "443-849-2682",
            "fax_number": "443-849-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REN",
        "first_name": "TIANBO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0079305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091327800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.