Renee Georgia Stephanie Kleris, M.D.

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

2015-01090 Issued in NC

Practice address

203 Research Dr
Dumc Box 2644, 101 Msrb1
Durham, NC 27710-3022

Phone

(919) 684-8657

NPI assigned

Dec 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1306081641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 RESEARCH DR",
            "address_2": "DUMC BOX 2644, 101 MSRB1",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277103022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 RESEARCH DR",
            "address_2": "DUMC BOX 2644, 101 MSRB1",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277103022",
            "telephone_number": "919-684-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLERIS",
        "first_name": "RENEE",
        "middle_name": "GEORGIA STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "LP02642",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NC",
            "license": "2015-01090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Lorraine Kleist
• Igor Klem, MD
• Nicholas Donald Klemen, M.D.
• Jillian Klemm, M.S. CCC SLP
• Matthew Scott Klepper, FNP
• Nicole W Klett, MD
• Madison Kleveland
• Mickayla M Kleyn, SLP
• Annie Kleynerman, MD
• Alison Kliegman

• Pediatric Allergy/Immunology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Pediatric Allergy/Immunology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.

Verify at the official NPI Registry.