NPIMap

Individual provider Active NPI

Edward Robert Rensimer

  • Infectious Disease Physician
  • Houston, TX
National Provider Identifier
1326043654
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
F-5010 Issued in TX
Practice address
9230 Katy Freeway
Ste 400
Houston, TX 77055
Phone
(713) 973-6078
Fax
(713) 973-0805
NPI assigned
Jun 14, 2005
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X F-5010 TX Primary

Addresses

Primary practice location

9230 Katy Freeway
Ste 400
Houston, TX 77055

Mailing address

9230 Katy Freeway
Ste 400
Houston, TX 77055
Phone (713) 973-6078

Other identifiers 3

IdentifierTypeStateIssuer
76-0289544OtherTAX ID
760289544OtherTAX ID
099721501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000719 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 2365476926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Temple University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18500 Katy Fwy
Houston, TX 77094-1110
Phone (832) 522-5522

9230 Katy Fwy
Suite 400
Houston, TX 77055-7434

9230 Katy Fwy
Suite 400
Houston, TX 77055-7467
Phone (713) 973-6078

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F-5010TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Physicians Group PLLC Current Accepting new patients
Round Table Specialist Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

11103 Westheimer Rd
#C
Houston, TX 77042

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHHJAA/Endpoint/CHHJAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1326043654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 KATY FREEWAY",
            "address_2": "STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "telephone_number": "713-973-6078",
            "fax_number": "713-973-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 KATY FREEWAY",
            "address_2": "STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "telephone_number": "713-973-6078",
            "fax_number": "713-973-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSIMER",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "F-5010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "76-0289544",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760289544",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099721501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.