Active NPI
Andrew John Renuart, M.D., M.SC.
- Pediatric Critical Care Medicine Physician
- Boston, MA
National Provider Identifier
1790070514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- T288745
- Practice address
- 300 Longwood Ave
Boston, MA 02115-5724 - Phone
- (617) 355-6000
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | MD462181 | PA | |
| Pediatric Anesthesiology Physician | 207LP3000X | T288745 | MA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD462181 | PA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | T288745 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Boston, MA 02115-5724
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T288745 | MA | MD | Pediatric Critical Care Medicine Physician |
| MD462181 | PA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Heart Foundation Inc | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Children'S Hospital Pediatric Associates, Inc | Pediatric Critical Care Medicine | Current | Accepting new patients |
| CHMC Anesthesia Foundation Inc | Anesthesiology | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
Interoperability endpoints
- arenuart28502@direct.bostonchildrens.org
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.
-
- Pediatric Cardiology Physician
- Boston, MA
- NPI 1982680922
Pediatric Critical Care Medicine
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
Pediatric Critical Care Medicine
-
- Pediatric Anesthesiology Physician
- Boston, MA
- NPI 1831268754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1790070514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENUART",
"first_name": "ANDREW",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D., M.SC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "PA",
"license": "MD462181",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "MA",
"license": "T288745",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PA",
"license": "MD462181",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MA",
"license": "T288745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.