Individual provider Active NPI

Fernando Rennella, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boynton Beach, FL
National Provider Identifier
1912951591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME 39507 Issued in FL
Practice address
8188 Jog Rd
Suite 102
Boynton Beach, FL 33437-2952
Phone
(561) 737-1947
Fax
(561) 737-9074
NPI assigned
May 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME 39507 FL Primary

Addresses

Primary practice location

8188 Jog Rd
Suite 102
Boynton Beach, FL 33437-2952

Mailing address

8188 Jog Rd
Suite 102
Boynton Beach, FL 33437-2952
Phone (561) 737-1947

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050910000031 FL Practitioner - Pain ManagementPractitioner - Interventional Pain ManagementPractitioner - Pediatric Medicine 5890727853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Congress Park Dr
Suite 125
Delray Beach, FL 33445-4664
Phone (561) 819-6325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 39507FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Back Pain Management Inc Pain Medicine CurrentSince Oct 1, 2006 Accepting new patients
Center for Pain Management and Orthopaedic Rehabilitation Inc Pain Medicine PastSince Oct 1, 2006 Accepting new patients
Richard a Cappiello M D P a Past Accepting new patients

Locations

8188 S Jog Rd
Ste 102
Boynton Beach, FL 33472
Phone (561) 737-1947

220 Congress Park Dr
Ste 125
Delray Beach, FL 33445
Phone (561) 789-1633

Organizations & group practices 3

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 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912951591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 JOG RD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372952",
            "telephone_number": "561-737-1947",
            "fax_number": "561-737-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8188 JOG RD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372952",
            "telephone_number": "561-737-1947",
            "fax_number": "561-737-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNELLA",
        "first_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 39507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.