Individual provider Active NPI

Anas Renno, M.D.

  • Gastroenterology Physician
  • Indianapolis, IN
National Provider Identifier
1356751697
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01093524A Issued in IN
Practice address
1400 N Ritter Ave Ste 370
Indianapolis, IN 46219-3098
Phone
(317) 355-1144
NPI assigned
May 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 01093524A IN Primary
Hospitalist Physician 208M00000X 35.131171 OH

Addresses

Primary practice location

1400 N Ritter Ave Ste 370
Indianapolis, IN 46219-3098

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3829

Other identifiers 1

IdentifierTypeStateIssuer
300089839MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20170817003256 OH Practitioner - Internal Medicine 4688978695 Reassigns benefits to 3 organizations
I20240612000096 IN Practitioner - Gastroenterology 4688978695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1400 N Ritter Ave
Suite 370
Indianapolis, IN 46219-3098
Phone (317) 355-1144

Hospital & facility affiliations

  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01093524AINMDGastroenterology Physician
35.131171OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Toledo Urgent Cares, LLC. CurrentSince Feb 24, 2020 Accepting new patients
University of Toledo Physicians LLC CurrentSince Jul 4, 2017 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 22, 2024 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Feb 24, 2020 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 22, 2024 Accepting new patients
Wood Health Company LLC CurrentSince Feb 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Apr 22, 2020 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7400 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 621-6900

1400 N Ritter Ave
Ste 370
Indianapolis, IN 46219
Phone (317) 355-1144

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

L4189
Columbus, OH 43260

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

Interoperability endpoints

  • Direct secure messaging: arenno572743@ecommunitydirect.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 2

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1356751697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N RITTER AVE STE 370",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193098",
            "telephone_number": "317-355-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3829",
            "fax_number": "419-383-2918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNO",
        "first_name": "ANAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01093524A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.131171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300089839",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.