Individual provider Active NPI

Michael E. Renforth, MD

  • Emergency Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1700859766
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101231161 Issued in VA
Practice address
120 Monticello Ave
Michumi, PLLC., Dba MD Express of Williamsburg VA
Williamsburg, VA 23185-2840
Phone
(757) 564-3627
Fax
(757) 564-6449
NPI assigned
Feb 9, 2006
Last updated
Mar 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101231161 VA Primary

Addresses

Primary practice location

120 Monticello Ave
Michumi, PLLC., Dba MD Express of Williamsburg VA
Williamsburg, VA 23185-2840

Mailing address

PO Box 5508
Virginia Beach, VA 23471-0508
Phone (757) 340-3489

Other identifiers 2

IdentifierTypeStateIssuer
P00153222OtherVARRMED
010094348MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041006000219 VA Practitioner - Emergency Medicine 3173582376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101231161VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michumi PLLC Emergency Medicine CurrentSince Jul 1, 2003 Accepting new patients
Riverside Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

6567 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 824-9962

3321 W Mercury Blvd
Hampton, VA 23666
Phone (757) 224-0056

12997 Warwick Blvd
Newport News, VA 23602
Phone (757) 369-3357

120 Monticello Ave
Williamsburg, VA 23185
Phone (757) 564-3627

4740 George Washington Mem Hwy
Ste A
Yorktown, VA 23692
Phone (757) 890-6339

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1700859766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5508",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234710508",
            "telephone_number": "757-340-3489",
            "fax_number": "757-340-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MONTICELLO AVE",
            "address_2": "MICHUMI, PLLC., DBA MD EXPRESS OF WILLIAMSBURG VA",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852840",
            "telephone_number": "757-564-3627",
            "fax_number": "757-564-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFORTH",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101231161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMED",
            "identifier": "P00153222",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010094348",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.