Active NPI
Renu Nair
- Anesthesiology Physician
- Madera, CA
National Provider Identifier
1649731399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A21064
- Practice address
- 9300 Valley Childrens PL # SC05
Madera, CA 93636-8761 - Phone
- (559) 353-5700
- Fax
- (559) 353-5708
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20A21064 | CA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Mailing address
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190926002504 | IL | Order and Referring Only - Anesthesiology | 5395075725 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A21064 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Pediatric Anesthesia Associates Medical Group Inc | Anesthesiology | Past | Accepting new patients |
| Valley Children'S Medical Group | Past | Accepting new patients |
Interoperability endpoints
- rnair18652@uihealth.direct-ci.com
- rnair97556@direct.luhs.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Anesthesiology Physician
- Madera, CA
- NPI 1558588871
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1649731399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5700",
"fax_number": "559-353-5708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5700",
"fax_number": "559-353-5708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "RENU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A21064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.