Organization Active NPI

Renfro Medical Physicians P.a.

  • Family Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1861244840
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RENFRO MEDICAL PHYSICIANS P.A.
Practice address
400 Renfro Dr Ste 107
Glen Burnie, MD 21060-3602
Phone
(443) 288-0916
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Arman JanlooNPI 1710169446
Title
Owner
Phone
(443) 288-0916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

400 Renfro Dr Ste 107
Glen Burnie, MD 21060-3602

Mailing address

400 Renfro Dr Ste 107
Glen Burnie, MD 21060-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725000604 MD Part B Supplier - Clinic/Group Practice 4688181696 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1861244840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RENFRO DR STE 107",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210603602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RENFRO DR STE 107",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210603602",
            "telephone_number": "443-288-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENFRO MEDICAL PHYSICIANS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "JANLOO",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-288-0916"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.