Individual provider Active NPI

Luis Eduardo Rentas, MD

  • Internal Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1538996509
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.258104 Issued in OH
Practice address
4439 State Route 159 Ste 150
Chillicothe, OH 45601-7833
Phone
(740) 779-7070
Fax
(740) 779-8449
NPI assigned
Sep 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 57.258104 OH Primary

Addresses

Primary practice location

4439 State Route 159 Ste 150
Chillicothe, OH 45601-7833

Mailing address

702 Calle Camino del Mar
Vega Baja, PR 00693-4190
Phone (787) 421-8728

Other practice location 1

702 Calle Camino Del Mar
Vega Baja, PR 00693-4190
Phone (787) 421-8728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250709002367 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9234643487

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1538996509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CALLE CAMINO DEL MAR",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934190",
            "telephone_number": "787-421-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE 150",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017833",
            "telephone_number": "740-779-7070",
            "fax_number": "740-779-8449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Calle Camino Del Mar",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "006934190",
            "country_code": "US",
            "telephone_number": "787-421-8728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTAS",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.258104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.