Individual provider Active NPI

Deborah Lynn Renelus-Marshall, M.D.

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1275844482
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME124988 Issued in FL
Practice address
1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172
Phone
(727) 824-8181
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME124988 FL
Family Medicine Physician 207Q00000X ME124988 FL Primary

Addresses

Primary practice location

1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172

Mailing address

14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181

Other identifiers 1

IdentifierTypeStateIssuer
124979400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170125002749 FL Practitioner - Family PracticePractitioner - Sports Medicine 2365605086 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of South Florida College of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Community Health Center of Pinellas IncGroup PAC ID 8527961028, 65 clinicians

Practice addresses (Care Compare)

1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172
Phone (727) 824-8181

14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181

17929 Hunting Bow Cir
Lutz, FL 33558-5378
Phone (813) 792-8555

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Nov 13, 2016 Accepting new patients
Community Health Center of Pinellas Inc Family Medicine CurrentSince Jul 7, 2025 Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Jul 7, 2025 Accepting new patients
Your Family Walk-in Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients
Tarpon Springs Hospital Foundation Inc Family Medicine CurrentSince Nov 13, 2016 Accepting new patients
Community Health Center of Pinellas Inc Family Medicine Current Accepting new patients
Tarpon Springs Hospital Foundation Inc CurrentSince Nov 13, 2016 Accepting new patients

Locations

14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224

14100 58th St N
Clearwater, FL 33760

1260 S Mlk Jr Ave
Clearwater, FL 33756
Phone (727) 824-2121

17929 Hunting Bow Cir
Lutz, FL 33558
Phone (813) 792-8555

4705 Alt 19
Ste B
Palm Harbor, FL 34683
Phone (727) 787-4875

4450 E Fletcher Ave
Ste C
Tampa, FL 33613
Phone (813) 524-5106

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

1395 S Pinellas Ave
#N
Tarpon Springs, FL 34689
Phone (727) 942-5126

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: deborah.renelus@6670374273028.direct.elationemr.com
  • Direct secure messaging: deborah.renelus@238098461884420.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1275844482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S MARTIN LUTHER KING JR AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564172",
            "telephone_number": "727-824-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENELUS-MARSHALL",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME124988",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME124988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124979400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.