Active NPI
Richard Harris Renston, M.D.
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1881733632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24477
- Practice address
- 6367 E. Tanque Verde Road
Suite 200
Tucson, AZ 85715-3832 - Phone
- (520) 290-5888
- Fax
- (520) 290-5551
- NPI assigned
- Feb 6, 2007
- Last updated
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24477 | AZ | Primary |
Addresses
Primary practice location
6367 E. Tanque Verde Road
Suite 200
Tucson, AZ 85715-3832
Mailing address
6367 E. Tanque Verde Road
Suite 200
Tucson, AZ 85715-3832
Phone (520) 290-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445181 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalists of Arizona, Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1881733632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6367 E. TANQUE VERDE ROAD",
"address_2": "SUITE 200",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153832",
"telephone_number": "520-290-5888",
"fax_number": "520-290-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6367 E. TANQUE VERDE ROAD",
"address_2": "SUITE 200",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153832",
"telephone_number": "520-290-5888",
"fax_number": "520-290-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENSTON",
"first_name": "RICHARD",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "24477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "445181",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.