Active NPI
Infections Managed Inc
- Infectious Disease Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME63353
- Legal business name
- INFECTIONS MANAGED INC
- Practice address
- 3012 E Commercial Blvd
Fort Lauderdale, FL 33308-4356 - Phone
- (954) 776-9992
- Fax
- (954) 776-9993
- NPI assigned
- Sep 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen A Renae, M.D.
- Title
- President
- Phone
- (954) 776-9992
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME63353 | FL | Primary |
Addresses
Primary practice location
3012 E Commercial Blvd
Fort Lauderdale, FL 33308-4356
Mailing address
3012 E Commercial Blvd
Fort Lauderdale, FL 33308-4356
Phone (954) 776-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003165300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DrRenae@direct.practicefusion.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2164543 | Infections Managed, Inc | Certificate of waiver | Apr 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
3012 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 491-7100
Networks
- HealthSun Health Plans Network
Interoperability endpoints
- drrenae@direct.practicefusion.com
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Fort Lauderdale, FL
- NPI 1841296670
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1518587930
-
- Physician Assistant
- Fort Lauderdale, FL
- NPI 1366842585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654041600000",
"number": "1407163728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 E COMMERCIAL BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084356",
"telephone_number": "954-776-9992",
"fax_number": "954-776-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 E COMMERCIAL BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084356",
"telephone_number": "954-776-9992",
"fax_number": "954-776-9993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIONS MANAGED INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-08",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A",
"authorized_official_last_name": "RENAE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-776-9992",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME63353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003165300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DrRenae@direct.practicefusion.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3012 E Commercial Blvd",
"city": "Fort Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "333084356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Independent Imaging, LLC
- Kirstyn Indgjer, CRNA
- Individualistic Pursuits, LLC
- Individualized Psychological Resources, Inc.
- Yumna Indorewala, DO
- Infectious Diseases Associates of Fort Lauderdale PA
- Infinity 8 LLC
- Infinity Diagnostics Inc
- Infinity Medical Supply LLC
- Infinity Wellness Corp (Interim Healthcare of Fort Lauderdale)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.