Active NPI
Tianbo Ren, MD
- Diagnostic Radiology Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0079305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091327800 | Medicaid | MD |
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
Enrollment records 1
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
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
- University of MD St Joseph Medical Center
- University of MD Baltimore Washington Medical Center
- Umd Upper Chesapeake Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0079305 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Radiology P a | Diagnostic Radiology | Current | 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
- tren214924@direct.hopkinsmedicine.org
- 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.
-
- Diagnostic Radiology Physician
- Owings Mills, MD
- NPI 1932167178
-
- Diagnostic Radiology Physician
- Columbia, MD
- NPI 1922963776
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
-
- Diagnostic Radiology Physician
- Glen Burnie, MD
- NPI 1548803257
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
-
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.