Individual provider Active NPI

Scott Rens, MD

  • Family Medicine Physician
  • Hull, IA
National Provider Identifier
1245390764
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29361 Issued in IA
Practice address
807 Main Street
Hull, IA 51239
Phone
(712) 439-1315
Fax
(712) 439-1264
NPI assigned
Dec 12, 2006
Last updated
Sep 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29361 IA Primary

Addresses

Primary practice location

807 Main Street
Hull, IA 51239

Mailing address

1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (712) 722-2609

Other identifiers 1

IdentifierTypeStateIssuer
8085472MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040422000288 IA Practitioner - Family Practice 7911993282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sioux Center HealthGroup PAC ID 9032027495, shared by 6 NPIs, 36 clinicians

Practice addresses (Care Compare)

807 Main St D
Hull, IA 51239-7204
Phone (712) 439-1315

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29361IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Center Health Family Medicine CurrentSince May 1, 2004 Accepting new patients
Sioux Center Health Current Accepting new patients
Sioux Center Health Family Medicine CurrentSince May 1, 2004 Accepting new patients
Sioux Center Health Current Accepting new patients

Locations

807 Main St
Hull, IA 51239
Phone (712) 439-1315

807 Main St
Ste D
Hull, IA 51239
Phone (712) 439-1315

1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1245390764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 9TH ST SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512502501",
            "telephone_number": "712-722-2609",
            "fax_number": "712-439-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MAIN STREET",
            "city": "HULL",
            "state": "IA",
            "postal_code": "51239",
            "telephone_number": "712-439-1315",
            "fax_number": "712-439-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENS",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "29361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8085472",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hull, IA

Sources for this page

Verify at the official NPI Registry.