Individual provider Active NPI

Debra A. Renner, M.D.

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1295773349
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
190712-1 Issued in NY
Practice address
30 Hagen Dr
Suite 320
Rochester, NY 14625-2658
Phone
(585) 922-0130
Fax
(585) 922-1042
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 190712 NY
Family Medicine Physician 207Q00000X 0101240877 VA
Family Medicine Physician 207Q00000X 190712-1 NY Primary

Addresses

Primary practice location

30 Hagen Dr
Suite 320
Rochester, NY 14625-2658

Mailing address

30 Hagen Dr
Suite 320
Rochester, NY 14625-2658
Phone (585) 922-0130

Other identifiers 1

IdentifierTypeStateIssuer
02603276MedicaidNY

Other names 1

  • Debra A. Rein Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Debra.Renner@rochesterregional.org
Direct Messaging Address drenner83499@direct.urmc.rochester.edu Direct
Direct Messaging Address drenner83499@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20040930000634 NY Practitioner - Family Practice 8921077454 Reassigns benefits to 5 organizations
I20181211001985 FL Practitioner - Family Practice 8921077454 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190712NYMDFamily Medicine Physician
190712-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Hospital, Inc. CurrentSince May 18, 2021 Accepting new patients
Collier Hma Physician Management LLC CurrentSince Oct 1, 2018 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Mar 16, 2015 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jun 6, 2022 Accepting new patients
Rochester General Hospital CurrentSince Mar 16, 2015 Accepting new patients
Highland Hospital of Rochester Family Medicine CurrentSince Jun 1, 2011 Accepting new patients
Highland Hospital of Rochester CurrentSince Jun 1, 2011 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Mar 16, 2015 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Collier Hma Physician Management LLC Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
River Hospital, Inc. Family Medicine CurrentSince May 18, 2021 Accepting new patients
Immediate Care East Walk-in Medical Treatment, PLLC PastSince May 1, 2007 Accepting new patients

Locations

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

995 Senator Keating Blvd
Ste 200
Rochester, NY 14618
Phone (585) 279-3600

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790

601 Elmwood Ave
#320
Rochester, NY 14642

30 Hagen Dr
Ste 320
Rochester, NY 14625
Phone (585) 586-5350

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

2350 Ridgeway Ave
Rochester, NY 14626
Phone (585) 225-0410

1600 Moseley Rd
Ste 300
Victor, NY 14564
Phone (585) 340-7287

Interoperability endpoints

  • Direct secure messaging: debra.renner@rochesterregional.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1295773349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAGEN DR",
            "address_2": "SUITE 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252658",
            "telephone_number": "585-922-0130",
            "fax_number": "585-922-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAGEN DR",
            "address_2": "SUITE 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252658",
            "telephone_number": "585-922-0130",
            "fax_number": "585-922-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "DEBRA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-07-05",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "190712",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240877",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "190712-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02603276",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Debra.Renner@rochesterregional.org",
            "affiliation": "N",
            "address_1": "2350 Ridgeway Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drenner83499@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drenner83499@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "REIN",
            "middle_name": "A.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.