Individual provider Active NPI

Douglas Rennert, M.D.

  • Pulmonary Disease Physician
  • Leesburg, VA
National Provider Identifier
1992796502
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101043761 Issued in VA
Practice address
19455 Deerfield Ave
Suite 206
Leesburg, VA 20176-8100
Phone
(703) 858-9608
Fax
(702) 858-9618
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101043761 VA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101043761 VA
Pulmonary Disease Physician 207RP1001X 0101043761 VA Primary

Addresses

Primary practice location

19455 Deerfield Ave
Suite 206
Leesburg, VA 20176-8100

Mailing address

19455 Deerfield Ave
Ste 206
Leesburg, VA 20176-8100
Phone (703) 858-9608

Other practice location 1

1860 Town Center Dr Ste 270
Reston, VA 20190-5899
Phone (703) 318-8157

Other identifiers 2

IdentifierTypeStateIssuer
5854466MedicaidVA
A6950002OtherDCDC BS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drennert@pulmcritcareassoc.caretrackerdirect.com Health Information Exchange (HIE)
Direct Messaging Address drennert@pulmcritcareassoc.caretrackerdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110111000599 VA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800868787 Reassigns benefits to 2 organizations
I20140115000024 DC Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 6800868787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease, Sleep Medicine
Education
Columbia University College of Physicians and Surgeons, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Associates, P.C.Group PAC ID 3173518438, 5 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 270
Reston, VA 20190-5899
Phone (703) 318-8157

19455 Deerfield Ave
Suite 206
Leesburg, VA 20176-8102
Phone (703) 858-9693

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Merit-based Incentive Payment System (MIPS)

Final score
79.69 of 100Reported as group
Quality
63.71
Improvement activities
40
Cost
76.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Critical Care Associates, P.C. Pulmonary Disease CurrentSince Jan 1, 2001 Accepting new patients
Commonwealth Critical Care LLC Critical Care Medicine CurrentSince Sep 8, 2021 Accepting new patients
Inova Health Care Services Critical Care Medicine Current Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Commonwealth Critical Care LLC PastSince Jun 22, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44055 Riverside Pkwy
Ste 204
Leesburg, VA 20176
Phone (703) 858-3333

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

19455 Deerfield Ave
Ste 206
Leesburg, VA 20176
Phone (703) 858-9608

1860 Town Center Dr
Reston, VA 20190
Phone (571) 313-0349

1860 Town Center Dr
Ste 270
Reston, VA 20190
Phone (703) 318-8157

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1830 Town Center Dr
Ste 401
Reston, VA 20190
Phone (703) 318-8157

Interoperability endpoints

  • Direct secure messaging: drennert@pulmcritcareassoc.caretrackerdirect.com

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 6

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1992796502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "STE 206",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768100",
            "telephone_number": "703-858-9608",
            "fax_number": "703-858-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "SUITE 206",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768100",
            "telephone_number": "703-858-9608",
            "fax_number": "702-858-9618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Town Center Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905899",
            "country_code": "US",
            "telephone_number": "703-318-8157",
            "fax_number": "703-318-8157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNERT",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101043761",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101043761",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101043761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5854466",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC BS",
            "identifier": "A6950002",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drennert@pulmcritcareassoc.caretrackerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "19455 Deerfield Ave",
            "address_2": "Suite 206",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201768100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drennert@pulmcritcareassoc.caretrackerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Email Direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1860 Town Center Dr Ste 270",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201905899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.