Renner Pediatrics and Children's Healthcare, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

344819301 Issued in TX

Legal business name

RENNER PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A.

Practice address

3409 Spectrum Blvd
Suite 300
Richardson, TX 75082

Phone

(972) 231-6564

Fax

(972) 231-0360

NPI assigned

Dec 31, 2007

Last updated

Dec 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anisa Ahmed, M.D.NPI 1548322001

Title

Owner, Director, Ceo.

Phone

(972) 231-6564

Specialties & licenses 1

Addresses

Other identifiers 6

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anisa Ahmed, M.D.

  • Pediatrics Physician
  • Richardson, TX
  • NPI 1548322001
  NPD Authorized official

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1841475563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 SPECTRUM BLVD",
            "address_2": "SUITE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-231-6564",
            "fax_number": "972-231-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 SPECTRUM BLVD",
            "address_2": "SUITE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-231-6564",
            "fax_number": "972-231-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENNER PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ANISA",
        "authorized_official_title_or_position": "OWNER, DIRECTOR, CEO.",
        "authorized_official_telephone_number": "972-231-6564",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "344819301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8X8990",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUESHIELD OF TEXAS",
            "identifier": "0004PM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Remoun Rezk, RBT
• Gideon Rempel
• Renaissance Oncology Counseling Associates, Inc.
• Renner Children's Dentistry and Orthodontics (Growing Smiles)
• Renner Internal Medicine
• Jyothi Reddy Rereddy, MD
• Resk Healthcare LLC (Star City Hospice)
• Heather Resneder, M.A., LMFT
• Restoration Psychiatry PLLC
• Restore Dermatology PLLC

• Pediatrics Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.