Individual provider Active NPI

Renu Shrinivas Shirguppi, DO

  • Emergency Medicine Physician
  • Du Bois, PA
National Provider Identifier
1982966941
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS024392C Issued in PA
Practice address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone
(814) 375-3471
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS024392C PA Primary

Addresses

Primary practice location

100 Hospital Ave
Du Bois, PA 15801-1440

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA, OH, PA, OK5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160803001207 NJ Practitioner - Emergency Medicine 4284928995 Reassigns benefits to 2 organizations
I20210527001978 CA Practitioner - Emergency Medicine 4284928995 Reassigns benefits to 1 organization
I20250825002214 OH Practitioner - Emergency Medicine 4284928995 Reassigns benefits to 2 organizations
I20250917003532 PA Practitioner - Emergency Medicine 4284928995 Reassigns benefits to 5 organizations
I20251205000828 OK Practitioner - Emergency Medicine 4284928995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians
Emergency Medicine Physicians of Lake County LTDGroup PAC ID 0042444051, 14 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

1341 Clark St
Cambridge, OH 43725-9614
Phone (740) 439-8900

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 682-5501

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 375-8166

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9413OKMDDermatology Physician
OS024392CPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2021 Accepting new patients
Tyrone Hospital CurrentSince Jun 7, 2025 Accepting new patients
Elk Regional Health Center Emergency Medicine CurrentSince Jun 7, 2025 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jun 7, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Jun 7, 2025 Accepting new patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2021 Accepting new patients
Emergency Medicine Physicians of Lake County LTD Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Elk Regional Health Center CurrentSince Jun 7, 2025 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Jun 7, 2025 Accepting new patients
Rwjbh Observation Associates LLC Emergency Medicine CurrentSince Dec 20, 2023 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jun 7, 2025 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Emergency Medicine CurrentSince Dec 20, 2023 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Sep 1, 2025 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Ofc
Dubois, PA 15801

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

239 Colonnade Blvd
Ph Sc
State College, PA 16803
Phone (582) 220-2345

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1982966941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRGUPPI",
        "first_name": "RENU",
        "middle_name": "SHRINIVAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS024392C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.