Individual provider Active NPI

Renee Garrick, MD

  • Nephrology Physician
  • Hawthorne, NY
National Provider Identifier
1386644128
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
140904 Issued in NY
Practice address
19 Bradhurst Ave
Suite 200N
Hawthorne, NY 10532-2140
Phone
(914) 493-7701
Fax
(914) 345-0653
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 140904 NY Primary

Addresses

Primary practice location

19 Bradhurst Ave
Suite 200N
Hawthorne, NY 10532-2140

Mailing address

19 Bradhurst Ave
Suite 200N
Hawthorne, NY 10532-2140
Phone (914) 493-7701

Other identifiers 1

IdentifierTypeStateIssuer
00904632MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Renee.Garrick@wmchealth.cernerdirect.com
Direct Messaging Address Renee.Garrick@wmchealth.cernerdirect.com Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050105000543 NY Practitioner - Nephrology 9537117619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Rush Medical College of Rush University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians

Practice addresses (Care Compare)

19 Bradhurst Ave
Suite 3050N
Hawthorne, NY 10532-2180
Phone (914) 775-5437

Hospital & facility affiliations

  • DIALYSIS CLINIC INC, Hawthorne Dialysis facility, Hawthorne, NY, CCN 332617
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140904NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP CurrentSince Feb 1, 2012 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Apr 1, 2018 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Apr 1, 2018 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Feb 1, 2012 Accepting new patients
Westchester Medical Center Past Accepting new patients
Medical Research Associates,PC Past Accepting new patients

Locations

234 Tarrytown Rd
Elmsford, NY 10523
Phone (914) 592-5858

22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606

19 Bradhurst Ave
Ste 200N
Hawthorne, NY 10532
Phone (914) 493-7701

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

19 Bradhurst Ave
Ste 200
Hawthorne, NY 10532
Phone (914) 493-7701

19 Bradhurst Ave
Ste 3050N
Hawthorne, NY 10532
Phone (914) 347-0162

19 Bradhurst Ave
Ste 100
Hawthorne, NY 10532
Phone (914) 493-7378

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
  • Direct secure messaging: renee.garrick@wmchealth.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westchester Medical CenterValhalla, NY, CCN 33T234 Hospital Corporate Director (100%) Dec 14, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1386644128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 200N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-493-7701",
            "fax_number": "914-345-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 200N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-493-7701",
            "fax_number": "914-345-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRICK",
        "first_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "140904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00904632",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Renee.Garrick@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "19 Bradhurst Ave",
            "address_2": "Suite 200N",
            "city": "Hawthorne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105322140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Renee.Garrick@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Mail Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "19 Bradhurst Ave",
            "address_2": "Suite 200N",
            "city": "Hawthorne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105322140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.