Renu Debroy, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2005018218 Issued in MO

Practice address

205 NW R D Mize Rd
Suite 408
Blue Springs, MO 64014-2518

Phone

(816) 220-9942

Fax

(816) 220-9952

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Leklan PC

  • Physical Medicine & Rehabilitation Physician
  • Kansas City, MO
  • NPI 1063885986
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1891745014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NW R D MIZE RD",
            "address_2": "SUITE 408",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142518",
            "telephone_number": "816-220-9942",
            "fax_number": "816-220-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NW R D MIZE RD",
            "address_2": "SUITE 408",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142518",
            "telephone_number": "816-220-9942",
            "fax_number": "816-220-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROY",
        "first_name": "RENU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2005018218",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-31297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KS",
            "identifier": "104845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "481225035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7450751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KC",
            "identifier": "357011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "P00239678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Davis, MS, CCC-SLP
• Michael James Davis, LPC
• Michelle Davis
• Cynthia Marquelle Dean, D.O.
• Janelle Deblock, LPC; MA
• Kelly R Deems, DC
• Vincent Demarco, DO
• Dennis L Demskey, D.D.S.
• Kara Laney Dennell, PTA
• Dental Depot of Blue Springs PLLC

• Physical Medicine & Rehabilitation Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.