David Renda, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

14870R Issued in LA

Practice address

2600 Greenwood Rd
Shreveport, LA 71103-3908

Phone

(972) 664-6963

Fax

(770) 237-4731

NPI assigned

Dec 14, 2006

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Anesthesiology

Education

Louisiana State University School of Medicine in Shreveport, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willis Knighton Medical Center Inc Crna GroupGroup PAC ID 1759358674, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willis Knighton Medical Center Inc. Crna Group

  dba Willis Knighton Anesthesia Services

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1174546097
  Medicare reassignment Care Compare group NPD
• Shreveport Anesthesia Services

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1861554297
  NPD (past)
• Med-Trans Corporation

  • Air Ambulance
  • Foley, AL
  • NPI 1275084535
  NPD (past)
• Ronald a. Weintraub, MD PA

  • Anesthesiology Physician
  • Groves, TX
  • NPI 1164572087
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1407918873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434500",
            "telephone_number": "972-664-6963",
            "fax_number": "770-237-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033908",
            "telephone_number": "972-664-6963",
            "fax_number": "770-237-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDA",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "14870R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1166421",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaytlyn Remedes
• Marcelina Remedies
• Misty Remedies, LOTR
• David Hongwei Ren, MD, PHD
• Renaissance Healthcare LLC
• Renew Therapeutic Services, LLC
• Kimberly Renfro, AU.D.
• David Rengifo, MD
• Linda Hood Resendez, LOTR
• Residual Care LLC

• Anesthesiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.

Verify at the official NPI Registry.