Organization Active NPI

Edward R Rensimer MD PA

Doing business as Rensimer & Associates

  • Specialist
  • Houston, TX
National Provider Identifier
1679678106
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F5010 Issued in TX
Legal business name
EDWARD R RENSIMER MD PA
Doing business as
Rensimer & Associates
Practice address
9230 Katy Freeway
Suite 400
Houston, TX 77055
Phone
(713) 973-6078
Fax
(713) 973-0805
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Mr. William M Donnell III
Title
Billing Manager
Phone
(713) 973-6078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X F5010 TX Primary

Addresses

Primary practice location

9230 Katy Freeway
Suite 400
Houston, TX 77055

Mailing address

9230 Katy Freeway
Suite 400
Houston, TX 77055
Phone (713) 973-6078

Other identifiers 3

IdentifierTypeStateIssuer
155622701MedicaidTX
1326043654OtherTXRENDERING NPI
F5010OtherTXTEXAS LICENSE

Other names 1

  • Rensimer & Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070213000441 TX Part B Supplier - Clinic/Group Practice 1557363041 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9230 Katy Fwy
Ste 400
Houston, TX 77055
Phone (713) 973-6078

920 Frostwood Dr
Ste 670
Houston, TX 77024
Phone (713) 973-2800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1679678106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 KATY FREEWAY",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "telephone_number": "713-973-6078",
            "fax_number": "713-973-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 KATY FREEWAY",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "telephone_number": "713-973-6078",
            "fax_number": "713-973-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD R RENSIMER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "DONNELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "713-973-6078",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F5010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155622701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING NPI",
            "identifier": "1326043654",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "F5010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rensimer & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.