Individual provider Active NPI

Henri Renom de la Baume, MD

  • Gastroenterology Physician
  • Purcellville, VA
National Provider Identifier
1790769792
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101246329 Issued in VA
Practice address
17336 Pickwick Dr Ste C
Purcellville, VA 20132-6180
Phone
(540) 338-3636
Fax
(540) 441-0301
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01068264A IN
Gastroenterology Physician 207RG0100X MD34498 MD
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 0101246329 VA Primary
General Acute Care Hospital 282N00000X 01068264A IN
Military Health Care Provider 171000000X D34498 MD

Addresses

Primary practice location

17336 Pickwick Dr Ste C
Purcellville, VA 20132-6180

Mailing address

190 Campus Blvd Ste 300
Winchester, VA 22601-2872
Phone (540) 667-1244

Other practice location 1

9501 Farrell Road
Dewitt Army Community Hospital
Fort Belvoir, VA 22060
Phone (703) 805-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20131122000406 VA Practitioner - Gastroenterology 7810945771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Gastroenterology AssociatesGroup PAC ID 6608762851, 17 clinicians

Practice addresses (Care Compare)

17336 Pickwick Dr
Suite C
Purcellville, VA 20132-6180
Phone (540) 441-4900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D34498MDMDMilitary Health Care Provider
01068264AINMDGastroenterology Physician
MD34498MDMDGastroenterology Physician
1601AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Gastroenterology Associates Single Specialty CurrentSince Mar 1, 2026 Accepting new patients
Winchester Gastoenterology Associates Single Specialty PastSince Mar 1, 2026 Accepting new patients

Locations

17336 Pickwick Dr
Ste C
Purcellville, VA 20132
Phone (540) 338-3636

190 Campus Blvd
Ste 300
Winchester, VA 22601
Phone (540) 667-1244

Interoperability endpoints

  • Direct secure messaging: henri.delabaume@direct.baptistfirst.org

Organizations & group practices 2

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1790769792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD STE 300",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-667-1244",
            "fax_number": "540-667-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 PICKWICK DR STE C",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326180",
            "telephone_number": "540-338-3636",
            "fax_number": "540-441-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9501 Farrell Road",
            "address_2": "Dewitt Army Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Fort Belvoir",
            "state": "VA",
            "postal_code": "22060",
            "country_code": "US",
            "telephone_number": "703-805-0071",
            "fax_number": "703-805-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENOM DE LA BAUME",
        "first_name": "HENRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01068264A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "MD34498",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101246329",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "01068264A",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MD",
            "license": "D34498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.