NPIMap

Individual provider Active NPI

Renato R Espina, M.D.

  • Internal Medicine Physician
  • Cumberland, MD
National Provider Identifier
1427059773
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0003459 Issued in MD
Practice address
902 Seton Dr
Suite 301
Cumberland, MD 21502-1873
Phone
(301) 723-5863
Fax
(301) 723-5654
NPI assigned
Aug 9, 2005
Reactivated
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0003459 MD Primary

Addresses

Primary practice location

902 Seton Dr
Suite 301
Cumberland, MD 21502-1873

Mailing address

902 Seton Dr
Suite 301
Cumberland, MD 21502-1873
Phone (301) 723-5863

Other identifiers 7

IdentifierTypeStateIssuer
001678530002MedicaidPA
G362 0001OtherDCBLUE CHOICE
192021900MedicaidMD
40290002OtherMDCAREFIRST BC BS
408113085OtherMDTRAVELERS MEDICARE
001716849OtherWVMT. STATE BC BS
0077675000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Corporation Past Accepting new patients
Upmc Western Maryland Health Services, LLC Internal Medicine Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/478/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1427059773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SETON DR",
            "address_2": "SUITE 301",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021873",
            "telephone_number": "301-723-5863",
            "fax_number": "301-723-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SETON DR",
            "address_2": "SUITE 301",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021873",
            "telephone_number": "301-723-5863",
            "fax_number": "301-723-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINA",
        "first_name": "RENATO",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-09-11",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0003459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001678530002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G362   0001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192021900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "40290002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "408113085",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE BC BS",
            "identifier": "001716849",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077675000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.