NPIMap

Individual provider Active NPI

Renante F Ignacio, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Oswego, NY
National Provider Identifier
1861485849
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
246837 Issued in NY
Practice address
101 W Utica St
Suite C
Oswego, NY 13126-3165
Phone
(315) 216-4641
Fax
(315) 216-6070
NPI assigned
Aug 25, 2005
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 246837 NY Primary

Addresses

Primary practice location

101 W Utica St
Suite C
Oswego, NY 13126-3165

Mailing address

101 W Utica St
Suite C
Oswego, NY 13126-3165
Phone (315) 216-4641

Other identifiers 1

IdentifierTypeStateIssuer
02355746MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000273 NY Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Other (Physician) 8729031489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geriatric and Palliative Specialist PCGroup PAC ID 6103045950, 3 clinicians

Practice addresses (Care Compare)

Oswego, NY 13126
Phone (315) 216-4641

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.63 of 100Reported as group
Quality
95.94
Improvement activities
0
Cost
74.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001783NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric & Palliative Specialist PC Geriatric Medicine CurrentSince May 24, 2014 Accepting new patients
Ca Occupational Therapies, LLC Past Accepting new patients
Morningstar Care Center Past Accepting new patients
Primary Healthcare Center, P.C. Past Accepting new patients
St. Luke Residential Health Care Facility, Inc. Past Accepting new patients
St. Camillus Residential Health Care Facility PastSince Feb 12, 2025 Accepting new patients

Locations

453 Park St
Fulton, NY 13069
Phone (315) 592-2009

101 W Utica St
Ste C
Oswego, NY 13126
Phone (315) 216-4641

17 Sunrise Dr
Oswego, NY 13126
Phone (315) 342-2440

20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300

299 E River Rd
Oswego, NY 13126
Phone (315) 342-3166

303 E River Rd
Oswego, NY 13126
Phone (315) 343-1800

Interoperability endpoints

  • Direct secure messaging: rignacio@hiemail.healtheconnections.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Camillus Residential Health Care FacilitySyracuse, NY, CCN 335283 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2021
Feb 12, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1861485849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UTICA ST",
            "address_2": "SUITE C",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263165",
            "telephone_number": "315-216-4641",
            "fax_number": "315-216-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W UTICA ST",
            "address_2": "SUITE C",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263165",
            "telephone_number": "315-216-4641",
            "fax_number": "315-216-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "RENANTE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "246837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02355746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.