Individual provider Active NPI

Roberta Renzelli-Cain, D.O.

  • Obstetrics & Gynecology Physician
  • McMurray, PA
National Provider Identifier
1538179403
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS013446 Issued in PA
Practice address
122 Gallery Dr
Suite 200
MC Murray, PA 15317-2690
Phone
(724) 884-0898
NPI assigned
Aug 9, 2006
Last updated
Oct 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS013446 PA Primary

Addresses

Primary practice location

122 Gallery Dr
Suite 200
MC Murray, PA 15317-2690

Mailing address

122 Gallery Dr
Suite 200
MC Murray, PA 15317-2690
Phone (724) 884-0898

Other identifiers 1

IdentifierTypeStateIssuer
1012279980003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050324000542 WV Practitioner - Obstetrics/Gynecology 3476509266
I20080801000214 PA Practitioner - Obstetrics/Gynecology 3476509266 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013446PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Obstetrics & Gynecology CurrentSince Aug 1, 2008 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2008 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

Interoperability endpoints

  • Direct secure messaging: rrenzellicain816@direct.wvuhsdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1538179403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GALLERY DR",
            "address_2": "SUITE 200",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-884-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GALLERY DR",
            "address_2": "SUITE 200",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-884-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZELLI-CAIN",
        "first_name": "ROBERTA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS013446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012279980003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

Verify at the official NPI Registry.