Renato Medrano, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

013736 Issued in ME

Practice address

144 Fore St
Portland VA Clinic
Portland, ME 04101-4843

Phone

(207) 771-3500

Fax

(207) 771-3577

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1508974627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HEATHER LOCH",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "040976431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 FORE ST",
            "address_2": "PORTLAND VA CLINIC",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014843",
            "telephone_number": "207-771-3500",
            "fax_number": "207-771-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "RENATO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "013736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medi-Rents of Maine, Inc.
• Medical House Calls of Southern Maine
• Medical Laser Services, LLC
• Nicole Peters Mediouni, PHARMD
• Brenda Medlin, M.D.
• Alexander A Medunitza, PHARMD
• Ryan Meehan, MD
• Meg Brown Therapy, LLC
• Megan Boothby LCSW LLC
• Laura Kolker Mehler, PA-C

• Internal Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.