Individual provider Active NPI

William A Renie, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1457445918
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO023704 Issued in MD
Practice address
9000 Franklin Square Drive
Baltimore, MD 21237
Phone
(202) 877-9696
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO023704 MD Primary

Addresses

Primary practice location

9000 Franklin Square Drive
Baltimore, MD 21237

Mailing address

1000 River Road
Ste 100
Conshohocken, PA 19428
Phone (800) 355-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20181120000535 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 8921138397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onclick Healthcare IncorporatedGroup PAC ID 9830511260, 63 clinicians

Practice addresses (Care Compare)

1945 Juliesse Ave
Sacramento, CA 95815-1933
Phone (818) 272-8260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO023704MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boundless Care, Inc. CurrentSince Mar 8, 2025 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince May 6, 2023 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince May 22, 2022 Accepting new patients
Action Urgent Care Inc PastSince Sep 24, 2021 Accepting new patients

Locations

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

5988 Silver Creek Valley Rd
Ste 60
San Jose, CA 95138
Phone (408) 217-0818

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1457445918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER ROAD",
            "address_2": "STE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "800-355-3818",
            "fax_number": "610-834-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DRIVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "202-877-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENIE",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "DO023704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.