Renal Focus ASC of Oklahoma LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RENAL FOCUS ASC OF OKLAHOMA LLC

Practice address

1 NW 64TH St
Oklahoma City, OK 73116-9107

Phone

(572) 218-9900

NPI assigned

Feb 13, 2024

Last updated

Mar 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregg Miller, MDNPI 1942273560

Title

Authorized Official

Phone

(717) 515-4048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vascular and Interventional Specialists of Oklahoma PLLC

  dba Azura Vascular Care Oklahoma City

  • Vascular & Interventional Radiology Physician
  • Oklahoma City, OK
  • NPI 1134983729

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregg Arthur Miller, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1942273560
  Authorized official Same address or phone
• Allen R Molloy, MD

  • Vascular & Interventional Radiology Physician
  • Oklahoma City, OK
  • NPI 1720121684
  NPD (past)

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1205690880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411806",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411806",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NW 64TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169107",
            "telephone_number": "572-218-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL FOCUS ASC OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-515-4048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Remondino, M.D.
• Jenny Ren, RBT
• Renaissance Counseling Services PLLC
• Renaissance Health LLC
• Renal Dietitian Specialists of Oklahoma
• Renal Life Link Inc (Cinema Dialysis)
• Renal Treatment Centers West Inc (Lake Hefner Dialysis)
• Renal Treatment Centers West Inc (Oklahoma City Dialysis Center)
• Chelsea Renbarger
• Maria Isabel Rendon

• Ambulatory Surgical Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.