Active NPI
Rena Avery, D.O.
- Obstetrics & Gynecology Physician
- Sioux City, IA
National Provider Identifier
1497043343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO-04747
- 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.
-
- Obstetrics & Gynecology Physician
- Sioux City, IA
- NPI 1700878592
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
Care Compare affiliation Hospital -
- Critical Access Hospital
- Pender, NE
- NPI 1578627196
Care Compare affiliation Hospital -
- Special Hospital
- Dakota Dunes, SD
- NPI 1093714073
Care Compare affiliation Hospital
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
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
- St Lukes Regional Medical Center
- Dunes Surgical Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Removal of the uterus | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SD, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 3
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1435 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Iowa Hospital Corporation | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO-04747 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.