Individual provider Active NPI

Kenny Emmanuel Rentas, MD

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1962646950
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0056871 Issued in CO
Practice address
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone
(719) 365-5853
Fax
(719) 365-1048
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0056871 CO Primary

Addresses

Primary practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Mailing address

PO Box 63300
Colorado Springs, CO 80962-3300
Phone (719) 578-1162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160622000673 CO Practitioner - Diagnostic Radiology 2466677570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Hospital Association of the San Luis ValleyGroup PAC ID 4789589094, 146 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians
Radiology and Imaging Consultants PCGroup PAC ID 1850298647, 45 clinicians

Practice addresses (Care Compare)

106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511

1370 Interquest Pkwy
Suite 300
Colorado Springs, CO 80921-4340
Phone (719) 364-3750

1400 E Boulder St
Memorial Hospital Central
Colorado Springs, CO 80909-5599
Phone (719) 365-5120

175 S Union Blvd
Colorado Springs, CO 80910-3113
Phone (719) 365-5242

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 364-5000

5818 N Nevada Ave
Colorado Springs, CO 80918-3505
Phone (719) 365-7480

875 W 136TH Ave
100 Uchealth Imaging SVCS Broomfield
Broomfield, CO 80023-9303
Phone (303) 457-7700

8890 N Union Blvd
Mary Lou Beshears Breast Care Center
Colorado Springs, CO 80920-7799
Phone (719) 365-5242

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008
  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326
  • Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130
  • San Luis Valley Health Conejos County Hospital Hospital, La Jara, CO, CCN 061308

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
43.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services LLC Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

875 W 136th Ave
Broomfield, CO 80023
Phone (303) 457-7700

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

3843 Rio Vista Dr
Ste 1100
Colorado Springs, CO 80917
Phone (719) 364-4903

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 722-2542

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1370 Interquest Pkwy
Ste 110
Colorado Springs, CO 80921
Phone (719) 364-6600

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121

Organizations & group practices 6

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1962646950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809623300",
            "telephone_number": "719-578-1162",
            "fax_number": "719-578-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-5853",
            "fax_number": "719-365-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTAS",
        "first_name": "KENNY",
        "middle_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0056871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.