Active NPI
Debra A. Renner, M.D.
- Family Medicine Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 190712-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02603276 | Medicaid | NY |
Other names 1
- Debra A. Rein
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190712 | NY | MD | Family Medicine Physician |
| 190712-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Hospital, Inc. | Current | Accepting new patients | |
| Collier Hma Physician Management LLC | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Family Medicine | Current | Accepting new patients |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Highland Hospital of Rochester | Family Medicine | Current | Accepting new patients |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Family Medicine | Current | Accepting new patients |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Collier Hma Physician Management LLC | Family Medicine | Current | Accepting new patients |
| River Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Immediate Care East Walk-in Medical Treatment, PLLC | Past | 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
- 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.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- Critical Access Hospital
- Alexandria Bay, NY
- NPI 1003814641
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Internal Medicine Physician
- Naples, FL
- NPI 1245282979
Family Medicine
-
- Family Medicine Physician
- Rochester, NY
- NPI 1740220698
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.