Individual provider Active NPI

Stephen A. Renae, M.D.

  • Infectious Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1841296670
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0063353 Issued in FL
Practice address
3012 E Commercial Blvd
Fort Lauderdale, FL 33308-4356
Phone
(954) 776-9992
Fax
(954) 776-9993
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME0063353 FL
Infectious Disease Physician 207RI0200X ME0063353 FL Primary

Addresses

Primary practice location

3012 E Commercial Blvd
Fort Lauderdale, FL 33308-4356

Mailing address

PO Box 1000 Dept 394
Memphis, TN 38148-0001
Phone (941) 300-4440

Other identifiers 1

IdentifierTypeStateIssuer
372037300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrRenae@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090916000783 FL Practitioner - Infectious Disease 4082606942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone (954) 335-4400

3012 E Commercial Blvd
Fort Lauderdale, FL 33308-4356
Phone (954) 776-9992

Hospital & facility affiliations

  • Community Home Health Services Home health agency, Fort Lauderdale, FL, CCN 107103
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
82.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0063353FLMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Infections Managed Inc Infectious Disease CurrentSince Nov 1, 2010 Accepting new patients
Can Community Health Inc. CurrentSince Jun 1, 2025 Accepting new patients
Can Community Health, Inc. Infectious Disease CurrentSince Jun 1, 2025 Accepting new patients
Broward Multispecialty Group LLC Clinic/Center Past Accepting new patients
Infectious Diseases Associates of Fort Lauderdale PA Infectious Disease PastSince Mar 16, 1997 Accepting new patients

Locations

4800 NE 20th Ter
Ste 115
Ft Lauderdale, FL 33308
Phone (954) 491-1111

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

3012 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 491-7100

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

Interoperability endpoints

  • Direct secure messaging: stephen.renae.1@28783.direct.athenahealth.com
  • Direct secure messaging: drrenae@direct.practicefusion.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1841296670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 394",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084356",
            "telephone_number": "954-776-9992",
            "fax_number": "954-776-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAE",
        "first_name": "STEPHEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0063353",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0063353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372037300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrRenae@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3012 E Commercial Blvd",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333084356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.