Individual provider Active NPI

Rene T. Limjoco, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1740252568
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
15893 Issued in OK
Practice address
920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036
Phone
(405) 271-4351
Fax
(405) 271-8695
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036084259 IL
Anesthesiology Physician 207L00000X 01059936A IN
Anesthesiology Physician 207L00000X 153449 NY
Anesthesiology Physician 207L00000X 15893 OK Primary

Addresses

Primary practice location

920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036

Mailing address

2575 Northwinds Pkwy
Alpharetta, GA 30009-2232
Phone (678) 690-7058

Other practice location 1

101 E 87th Ave
Merrillville, IN 46410-7335
Phone (219) 738-5500

Other practice location 2

5734 Coventry Ln
Fort Wayne, IN 46804-7141
Phone (260) 436-7875

Other practice location 3

8895 Broadway
Merrillville, IN 46410-7037
Phone (219) 736-4660

Other practice location 4

600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4000

Other practice location 5

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5500

Other practice location 6

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-6675

Other identifiers 1

IdentifierTypeStateIssuer
200811410MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20040119000632 IL Practitioner - Anesthesiology 4688574965 Reassigns benefits to 5 organizations
I20060517000029 IN Practitioner - AnesthesiologyPractitioner - Allergy/Immunology 4688574965 Practice locations: Fort Wayne, IN

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince May 2, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Aug 1, 2018 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Jan 6, 2020 Accepting new patients
St Bernard Hospital Anesthesiology CurrentSince Aug 5, 2022 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince Aug 5, 2022 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Current Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince May 2, 2023 Accepting new patients
Northern Anesthesia Providers, LLC Anesthesiology Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1740252568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092232",
            "telephone_number": "678-690-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E 87th Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107335",
            "country_code": "US",
            "telephone_number": "219-738-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5734 Coventry Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468047141",
            "country_code": "US",
            "telephone_number": "260-436-7875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8895 Broadway",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107037",
            "country_code": "US",
            "telephone_number": "219-736-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Grant St",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "464026001",
            "country_code": "US",
            "telephone_number": "219-886-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8701 Broadway",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107035",
            "country_code": "US",
            "telephone_number": "219-738-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-933-6675",
            "fax_number": "630-933-2614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMJOCO",
        "first_name": "RENE",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036084259",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01059936A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "153449",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "15893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200811410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.