Individual provider Active NPI

Scott R. Rennie, DO

  • Obesity Medicine (Family Medicine) Physician
  • Lewisville, TX
National Provider Identifier
1770624595
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
05-41901 Issued in KS
Practice address
1945 Lakepointe Dr
Lewisville, TX 75057-6469
Phone
(800) 835-2362
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 298086 NY
Family Medicine Physician 207Q00000X OS15828 FL
Family Medicine Physician 207Q00000X 2019-00471 NC
Family Medicine Physician 207Q00000X 007964 AZ
Family Medicine Physician 207Q00000X 3394 WV
Family Medicine Physician 207Q00000X 82314 GA
Family Medicine Physician 207Q00000X 65048 MN
Family Medicine Physician 207Q00000X 20A9729 CA
Family Medicine Physician 207Q00000X 02005666A IN
Family Medicine Physician 207Q00000X OP00002006 WA
Family Medicine Physician 207Q00000X 52-321 WI
Family Medicine Physician 207Q00000X 0102205607 VA
Family Medicine Physician 207Q00000X S0543 TX
Family Medicine Physician 207Q00000X 036148831 IL
Obesity Medicine (Family Medicine) Physician 207QB0002X 05-41901 KS Primary

Addresses

Primary practice location

1945 Lakepointe Dr
Lewisville, TX 75057-6469

Mailing address

1945 Lakepointe Dr
Lewisville, TX 75057-6424
Phone (800) 835-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MN, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080729000424 WA Practitioner - Family Practice 2365547858 Reassigns benefits to 1 organization
I20250908002828 MN Practitioner - Family Practice 2365547858 Reassigns benefits to 1 organization
I20250917001415 PA Practitioner - Family Practice 2365547858

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Memory LN
York, PA 17402-2206

601 Memory LN
York, PA 17402-2231

PO Box
Suite 43
Minneapolis, MN 55440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007964AZMDFamily Medicine Physician
20A9729CAMDFamily Medicine Physician
OS15828FLMDFamily Medicine Physician
82314GAMDFamily Medicine Physician
036148831ILMDFamily Medicine Physician
02005666AINMDFamily Medicine Physician
05-41901KSMDFamily Medicine Physician
298086NYMDFamily Medicine Physician
S0543TXMDFamily Medicine Physician
0102205607VAMDFamily Medicine Physician
52-321WIMDFamily Medicine Physician
3394WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jul 15, 2025 Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
Multicare Health System Current Accepting new patients
Allina Health System CurrentSince Jul 15, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 11, 2016 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Multicare Health System CurrentSince Dec 11, 2016 Accepting new patients
Overlake Medical Clinics LLC Past Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients
Overlake Medical Clinics, LLC Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

13718 100th Ave NE
Kirkland, WA 98034
Phone (425) 814-4888

9000 Holman Rd NW
Ste A1
Seattle, WA 98117
Phone (206) 706-9001

20120 Ballinger Way NE
Ste A1
Shoreline, WA 98155
Phone (206) 365-9000

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1770624595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 LAKEPOINTE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576424",
            "telephone_number": "800-835-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 LAKEPOINTE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576469",
            "telephone_number": "800-835-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNIE",
        "first_name": "SCOTT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "298086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15828",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-00471",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "007964",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3394",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "82314",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "65048",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9729",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005666A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002006",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "52-321",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205607",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S0543",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036148831",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "KS",
            "license": "05-41901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.