Renal Associates of Central in

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL ASSOCIATES OF CENTRAL IN

Practice address

3025 North Oakwood Avenue
Muncie, IN 47304-3987

Phone

(765) 298-4120

Fax

(765) 751-3377

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Barbara J Ryder

Title

Office Manager

Phone

(765) 298-4120

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel D. Robinson, MD

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1629271176
  Medicare reassignment NPD
• Ravi R Sarin, MD

  • Nephrology Physician
  • Muncie, IN
  • NPI 1780652867
  Medicare reassignment NPD
• Lori W Wanko, DO

  • Nephrology Physician
  • Lafayette, IN
  • NPI 1215270897

  Single Specialty

  Medicare reassignment NPD
• Karen Jayne Trennepohl, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1114971678
  NPD (past)
• Cheryl L. Westmoreland, M.D.

  • Internal Medicine Physician
  • Muncie, IN
  • NPI 1447274964
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1962507285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473960506",
            "telephone_number": "765-298-4120",
            "fax_number": "765-751-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 NORTH OAKWOOD AVENUE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043987",
            "telephone_number": "765-298-4120",
            "fax_number": "765-751-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL ASSOCIATES OF CENTRAL IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-298-4120"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01042569A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100413220",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200112430",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100413220B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rejuvenate Residential Services LLC
• Rem Occazio, Inc.
• Rem Occazio, Inc.
• Renaissance Specialty Hospital of Central Indiana Operations Co LLC
• Renaissance Specialty Hospital of Central Indiana Operations Co., LLC
• Jessica Rench, MA, CCC-SLP
• John Marc Rench
• Daniel C Reno, D.D.S.
• Marah Reno, RBT
• Tara Reschke

• Nephrology Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.