Rena A Azar, MD PC FPMRS
Individual provider Active NPI Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · South Pittsburg, TN
NPI 1760537484 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1760537484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
- License
- MD0000030628 (TN)
- Practice address
- 325 S Cedar Ave Ste 2
South Pittsburg, TN 37380-1322 - Phone
- (423) 837-5801
- Fax
- (423) 837-5807
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Human Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Renaissance Health and Surgical Associates, P.C.
Practice addresses (Care Compare)
325 S Cedar Ave
Suite 2
South Pittsburg, TN 37380-1322
Phone (423) 837-5801
Hospital & facility affiliations
- Parkridge Medical Center
- Memorial Healthcare System, Inc
- Erlanger Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
| Removal of the uterus | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081210000345 | TN | Practitioner - Obstetrics/Gynecology | 7012078959 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000030628 | TN | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
| 30628 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Health and Surgical Associates, P.C. | Urogynecology and Reconstructive Pelvic Surgery | Current |
Accepting new patients |
Locations
325 S Cedar Ave
Ste 2
South Pittsburg, TN 37380
Phone (423) 228-4170
Interoperability endpoints
- razar26836@direct.erlanger.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 30628 | TN | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | MD0000030628 | TN | Yes |
Addresses
Primary practice location
325 S Cedar Ave Ste 2
South Pittsburg, TN 37380-1322
Mailing address
325 S Cedar Ave
Suite 2
South Pittsburg, TN 37380-1305
Phone (423) 837-5801
Other practice location 1
1030 E 4th St
Chattanooga, TN 37403-2126
Phone (423) 837-5801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891-08307 | Other | AL | BCBS AL PROV # |
| 62-1818059 | Other | TN | TAX ID |
| 3149771 | Other | TN | BCBS TN PROV # |
Other names
- Dr. Rena A Azar
Other providers in South Pittsburg, TN
- A & R Home Medical Equipment,LLC
- Charles Russell Adcock
- Ag&B Transportation
- Jesse Ayers
- Body in Rhythm Physical Therapy and Wellness, LLC
- Taylor Ogden Bolland
- Jason Michael Cates
- Adlene Chang
- Charles R. Adcock, MDPC
All providers in South Pittsburg, TN · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.