Individual provider Active NPI

Samer Ibrahim Renno, M.D.

  • Hematology & Oncology Physician
  • Omaha, NE
National Provider Identifier
1588758312
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
22157 Issued in NE
Practice address
6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709
Phone
(402) 572-3535
Fax
(402) 572-2688
NPI assigned
Oct 3, 2006
Last updated
Jul 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 22157 NE Primary
Hematology & Oncology Physician 207RH0003X 32052 IA

Addresses

Primary practice location

6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709

Mailing address

PO Box 641850
Omaha, NE 68164-7850
Phone (402) 572-3535

Other identifiers 4

IdentifierTypeStateIssuer
0555300MedicaidIA
47077065413MedicaidNE
830008479OtherIARAILROAD MEDICARE
830008480OtherNERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20090409000131 NE Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9335181767 Reassigns benefits to 2 organizations
I20110406000130 IA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9335181767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 N 29TH St
Suite 1
Norfolk, NE 68701-4461
Phone (402) 644-7550

6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709
Phone 40257235353575

800 Mercy Dr
Suite 10
Council Bluffs, IA 51503-3128
Phone (712) 388-2810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32052IAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology & Oncology Consultants, PC Hematology & Oncology CurrentSince Jun 19, 2002 Accepting new patients
Hematology & Oncology Consultants PC CurrentSince Jun 19, 2002 Accepting new patients
Alegent Creighton Clinic CurrentSince May 22, 2015 Accepting new patients
Hematology & Oncology Consultants, PC Hematology & Oncology Past Accepting new patients

Locations

800 Mercy Dr
Ste 10
Council Bluffs, IA 51503
Phone (712) 388-2810

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021

2771 Solution Ctr
Chicago, IL 60677

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

110 N 29th St
Ste 1
Norfolk, NE 68701
Phone (402) 371-0925

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

6901 N 72nd St
Ste 2244
Omaha, NE 68122
Phone (402) 572-3535

Interoperability endpoints

  • Direct secure messaging: samer.renno@hoc.ikm.direct-ci.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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1588758312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641850",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647850",
            "telephone_number": "402-572-3535",
            "fax_number": "402-572-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "SUITE 2244",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-3535",
            "fax_number": "402-572-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNO",
        "first_name": "SAMER",
        "middle_name": "IBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "22157",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "32052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555300",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077065413",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830008479",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830008480",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.