Individual provider Active NPI

John Daniel Reneau, MD

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1750363404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1411 Issued in NV
Practice address
501 S Rancho Dr
Suite I-67
Las Vegas, NV 89106-4828
Phone
(702) 243-4700
Fax
(702) 243-7074
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1411 NV Primary

Addresses

Primary practice location

501 S Rancho Dr
Suite I-67
Las Vegas, NV 89106-4828

Mailing address

501 S Rancho Dr
Ste I 67
Las Vegas, NV 89106-4862
Phone (702) 243-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20101022000488 NV Practitioner - Physical Medicine and Rehabilitation 5890727119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in Shreveport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 S Rancho Dr
Suite I67
Las Vegas, NV 89106-4862
Phone (702) 243-4700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1411NVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Neurosurgery Orthopaedics and Rehabilitation LLP Physical Medicine & Rehabilitation CurrentSince May 16, 2005 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Encompass Health Rehabilitation Hospital of Las Vegas, LLC Past Accepting new patients

Locations

501 S Rancho Dr
Ste I67
Las Vegas, NV 89106
Phone (702) 243-4700

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

Interoperability endpoints

  • Direct secure messaging: john.reneau@lvnora.directbygreenway.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750363404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR",
            "address_2": "STE I 67",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064862",
            "telephone_number": "702-243-4700",
            "fax_number": "702-243-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR",
            "address_2": "SUITE I-67",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064828",
            "telephone_number": "702-243-4700",
            "fax_number": "702-243-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENEAU",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "1411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.