NPIMap

Individual provider Active NPI

Robert S Renouard, MD

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1265492144
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19654 Issued in OK
Practice address
5300 N Grand Blvd
Ste 200
Oklahoma City, OK 73112-5517
Phone
(405) 946-2500
Fax
(405) 946-2506
NPI assigned
Mar 24, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 19654 OK Primary

Addresses

Primary practice location

5300 N Grand Blvd
Ste 200
Oklahoma City, OK 73112-5517

Mailing address

PO Box 2263
Oklahoma City, OK 73101-2263
Phone (405) 842-4850

Other identifiers 1

IdentifierTypeStateIssuer
100205940AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070203000078 OK Practitioner - Urology 4183626161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wake Forest University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Proton Center LLCGroup PAC ID 4183963861, 15 clinicians

Practice addresses (Care Compare)

5300 N Grand Blvd
Suite 200
Oklahoma City, OK 73112-5517
Phone (405) 942-8545

5901 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
95.26

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
87.62
Promoting interoperability
100
Improvement activities
40
Cost
86.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Proton Center LLC CurrentSince Aug 1, 2023 Accepting new patients
Urology Affiliates of Oklahoma LLC Urology CurrentSince Apr 1, 2017 Accepting new patients
Midwest Oncology Group, PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients

Locations

5300 N Grand Blvd
Ste 200
Oklahoma City, OK 73112
Phone (405) 942-8545

5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700

Interoperability endpoints

  • Direct secure messaging: rrenouard23110@direct.integrisok.com

Organizations & group practices 6

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 10

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1265492144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2263",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731012263",
            "telephone_number": "405-842-4850",
            "fax_number": "405-842-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N GRAND BLVD",
            "address_2": "STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125517",
            "telephone_number": "405-946-2500",
            "fax_number": "405-946-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENOUARD",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "19654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100205940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.