Active NPI
Richard R Renaud, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Raynham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 57079
- Practice address
- 54 Mary Lou CT
Raynham, MA 02767-5253 - Phone
- (508) 958-6000
- Fax
- (508) 884-5676
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 57079 | MA | Primary |
Addresses
Primary practice location
54 Mary Lou CT
Raynham, MA 02767-5253
Mailing address
54 Mary Lou CT
Raynham, MA 02767-5253
Phone (508) 958-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57079 | MA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC Orthopedics of New England,PC. | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients |
Locations
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
401 Chestnut St
Springfield, MA 01104
Phone (413) 452-6251
Interoperability endpoints
- richard.renaud@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
-
- Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1922502095
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1386691087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MARY LOU CT",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027675253",
"telephone_number": "508-958-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MARY LOU CT",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027675253",
"telephone_number": "508-958-6000",
"fax_number": "508-884-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENAUD",
"first_name": "RICHARD",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MA",
"license": "57079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raynham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.