Active NPI
Diletta Marie Renier-Berg, MD
- Hospitalist Physician
- Cincinnati, OH
National Provider Identifier
1912920893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35131612
- Practice address
- 10500 Montgomery Rd
Cincinnati, OH 45242-4402 - Phone
- (513) 865-2246
- Fax
- (513) 865-5596
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 96-124 | NM | |
| Hospitalist Physician | 208M00000X | 35131612 | OH | Primary |
Addresses
Primary practice location
10500 Montgomery Rd
Cincinnati, OH 45242-4402
Mailing address
4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 853-4684
Other practice location 1
500 Walter St NE
Suite 309
Albuquerque, NM 87102-2534
Phone (505) 727-8039
Other practice location 2
500 Walter St NE
Suite 309
Albuquerque, NM 87102-2534
Phone (505) 727-8039
Other practice location 3
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-2246
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H614010 | Other | OH | MEDICARE |
| 0261173 | Medicaid | OH | |
| J8213 | Medicaid | NM |
Other names 1
- Diletta Marie Renier-Dow
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35131612 | OH | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1912920893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123397",
"telephone_number": "513-853-4684",
"fax_number": "513-852-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452424402",
"telephone_number": "513-865-2246",
"fax_number": "513-865-5596"
}
],
"practiceLocations": [
{
"address_1": "500 Walter St NE",
"address_2": "Suite 309",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871022534",
"country_code": "US",
"telephone_number": "505-727-8039",
"fax_number": "505-727-8086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Walter St NE",
"address_2": "Suite 309",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871022534",
"country_code": "US",
"telephone_number": "505-727-8039",
"fax_number": "505-727-8086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "375 Dixmyth Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452202475",
"country_code": "US",
"telephone_number": "513-862-2246",
"fax_number": "513-862-3421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENIER-BERG",
"first_name": "DILETTA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NM",
"license": "96-124",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35131612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "H614010",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0261173",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "J8213",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DILETTA",
"last_name": "RENIER-DOW",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.