Active NPI
Matthew Rensberry, MD
- Family Medicine Physician
- Winter Park, FL
National Provider Identifier
1407054851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME117525
- Practice address
- 1850 Lee Rd Ste 134
Winter Park, FL 32789-2104 - Phone
- (407) 634-1690
- Fax
- (407) 369-4236
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME117525 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 01066107A | IN | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | ME117525 | FL |
Addresses
Primary practice location
1850 Lee Rd Ste 134
Winter Park, FL 32789-2104
Mailing address
1850 Lee Rd Ste 134
Winter Park, FL 32789-2104
Phone (407) 634-1690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01066107A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Direct Primary Care, LLC | Current | Accepting new patients |
Locations
2909 N Orange Ave
Ste 101
Orlando, FL 32804
Phone (407) 228-4600
1850 Lee Rd
Ste 134
Winter Park, FL 32789
Phone (407) 389-4357
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1245726652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1407054851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 LEE RD STE 134",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892104",
"telephone_number": "407-634-1690",
"fax_number": "407-369-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 LEE RD STE 134",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892104",
"telephone_number": "407-634-1690",
"fax_number": "407-369-4236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENSBERRY",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME117525",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01066107A",
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "FL",
"license": "ME117525",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Reimbursement Solutions Corporation, Inc.
- Reinis LLC (Fajas Comfort Fit)
- Rena Stacy Psy D PA
- Renaissance Partners LLC (Renaissance Institute of Precision Oncology & Radiosurgery)
- Renato J. Aves, LLC (Central Florida Institute of Oral Surgery & Dental Implants)
- Harry Rentas Sr., RECOVERY SUPPORT SPE
- Cade Jarrod Resnick, LMFT
- Christopher Resnik, DMD, MDS
- Resonance Acupuncture & Holistic Health Solution LLC
- Rethink Health Direct Primary Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.