Organization Active NPI

Rengen Nephrology LLC

  • Nephrology Physician
  • Frederick, MD
National Provider Identifier
1679761472
Registry record updated Oct 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
H0065835 Issued in MD
Legal business name
RENGEN NEPHROLOGY LLC
Practice address
405 W 7TH St
Frederick, MD 21701-4505
Phone
(240) 344-9267
NPI assigned
Oct 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2007

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

Authorized official

Name
Rohan R Rengen, M.D.
Title
Sole Propreitor
Phone
(240) 344-9267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X H0065835 MD
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X H0065835 MD Primary

Addresses

Primary practice location

405 W 7TH St
Frederick, MD 21701-4505

Mailing address

405 W 7TH St
Frederick, MD 21701-4505
Phone (240) 344-9267

National Provider Directory

National Provider Directory

Locations

405 W 7th St
Frederick, MD 21701
Phone (240) 344-9267

NPI Registry JSON

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

{
    "created_epoch": "1191715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191715200000",
    "number": "1679761472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014505",
            "telephone_number": "240-344-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014505",
            "telephone_number": "240-344-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENGEN NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-07",
        "last_updated": "2007-10-07",
        "status": "A",
        "authorized_official_last_name": "RENGEN",
        "authorized_official_first_name": "ROHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPREITOR",
        "authorized_official_telephone_number": "240-344-9267",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0065835",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "H0065835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.