Individual provider Active NPI

Rena Avery, D.O.

  • Obstetrics & Gynecology Physician
  • Sioux City, IA
National Provider Identifier
1497043343
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO-04747 Issued in IA
Practice address
1000 Jackson St
Sioux City, IA 51105-1431
Phone
(712) 252-0501
Fax
(712) 252-2024
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siouxland Women'S Health Care PC 6 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Pender, NE 68047-4507
Phone (402) 385-4090

1000 Jackson St
Sioux City, IA 51105-1431
Phone (712) 252-0501

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 232-3332

Hospital & facility affiliations

  • Pender Community Hospital Hospital, Pender, NE, CCN 281349
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Removal of the uterus1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD, NE3 enrollments
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.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150727000329 IA Practitioner - Obstetrics/Gynecology 5496068074 Reassigns benefits to 1 organization
I20150804003580 SD Practitioner - Obstetrics/Gynecology 5496068074 Reassigns benefits to 1 organization
I20160705000276 NE Practitioner - Obstetrics/Gynecology 5496068074 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1435NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO-04747 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1000 Jackson St
Sioux City, IA 51105-1431

Mailing address

1000 Jackson St
Sioux City, IA 51105-1431
Phone (712) 252-0501

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address rena.kazos@swhc.directbygreenway.com Siouxland Women's Health Care, P.C.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2023.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1497043343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051431",
            "telephone_number": "712-252-0501",
            "fax_number": "712-252-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051431",
            "telephone_number": "712-252-0501",
            "fax_number": "712-252-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "RENA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "DO-04747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rena.kazos@swhc.directbygreenway.com",
            "affiliation": "Y",
            "affiliationName": "Siouxland Women's Health Care, P.C.",
            "address_1": "1000 Jackson St",
            "city": "Sioux City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "511051431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.