Randolph H Renzi, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

0101045302 Issued in VA

Practice address

1880 Amherst Street
Suite 100 and Suite 200
Winchester, VA 22601-2872

Phone

(540) 662-0306

Fax

(855) 264-2066

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

Electronic endpoints 7

Medicare fee-for-service enrollment

Enrolled in VA, WV2 enrollments

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 2

Specialty

Interventional Cardiology

Education

Georgetown University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Mountain Health Physicians IncGroup PAC ID 9133405327, 90 clinicians

Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Page Memorial Hospital IncGroup PAC ID 8426951203, 81 clinicians

Warren Memorial Hospital, Inc.Group PAC ID 2365330347, 121 clinicians

Shenandoah Memorial Hospital, Inc.Group PAC ID 2466360375, shared by 6 NPIs, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
• Page Memorial Hospital, Inc Hospital, Luray, VA, CCN 491307
• Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
• Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rrenzi124389@valleyhealth.direct-ci.com

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.

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Medicare reassignment Care Compare group NPD
• Valley Physician Enterprise, Inc

  • Surgery Physician
  • Winchester, VA
  • NPI 1538316203
  Medicare reassignment Care Compare group NPD
• Warren Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Front Royal, VA
  • NPI 1164442281
  Medicare reassignment Care Compare group NPD
• Winchester Medical Center

  • Critical Care Medicine (Internal Medicine) Physician
  • Winchester, VA
  • NPI 1679711261
  Medicare reassignment Care Compare group NPD
• East Mountain Health Physicians Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1114460797
  Medicare reassignment Care Compare group NPD
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  Medicare reassignment NPD
• Shenandoah Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Woodstock, VA
  • NPI 1952417735
  Medicare reassignment NPD
• Hampshire Memorial Hospital, Inc.

  • Critical Access Hospital
  • Romney, WV
  • NPI 1396897203
  Medicare reassignment NPD
• Hampshire Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Romney, WV
  • NPI 1881735660
  Medicare reassignment NPD
• War Memorial Hospital Inc

  • Internal Medicine Physician
  • Berkeley Springs, WV
  • NPI 1780904961
  Medicare reassignment NPD
• War Memorial Hospital, Inc.

  • Critical Access Hospital
  • Berkeley Springs, WV
  • NPI 1467450353
  Medicare reassignment NPD
• Page Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Care Compare affiliation
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  Care Compare affiliation
• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation
• War Memorial Hospital, Inc.

  • Critical Access Hospital
  • Berkeley Springs, WV
  • NPI 1467450353
  Care Compare affiliation

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1275512550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-662-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AMHERST STREET",
            "address_2": "SUITE 100 AND SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-662-0306",
            "fax_number": "855-264-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Romney",
            "state": "WV",
            "postal_code": "267574607",
            "country_code": "US",
            "telephone_number": "304-822-4561",
            "fax_number": "304-822-4951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-1100",
            "fax_number": "540-459-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "540-743-4561",
            "fax_number": "540-743-9560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Valley Health Way",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303598",
            "country_code": "US",
            "telephone_number": "540-636-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302660",
            "country_code": "US",
            "telephone_number": "540-635-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENZI",
        "first_name": "RANDOLPH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WV",
            "license": "18128",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101045302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085714000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "000674642",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "502807",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006036155",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9318661",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091241700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH SENTARA",
            "identifier": "16284",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "068565",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2119598",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C00075",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrenzi124389@soc.inova.org",
            "affiliation": "N",
            "address_1": "363 Sunrise Blvd",
            "city": "Romney",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267574607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrenzi124389@soc.inova.org",
            "affiliation": "N",
            "address_1": "200 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrenzi124389@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrenzi124389@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrenzi124389@soc.inova.org",
            "affiliation": "N",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrenzi124389@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrenzi124389@soc.inova.org",
            "affiliation": "N",
            "address_1": "1880 Amherst Street",
            "address_2": "Suite 100 and Suite 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reliable Medical Transport LLC
• Reliable Transport LLC
• Jordan Remington, OTR/L
• Renal Physician Associates of Winchester PLC
• Kristen L Renzi, PA - C
• Meghan Replogle
• Megan Reppert, PT
• Respiratory Care Associates, LC
• Lee Resta, M.D.
• Silvia Restivo, LPC

• Interventional Cardiology Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Interventional Cardiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.