MARIA RENNA (MD, PHD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1164750030

MARIA RENNA (MD, PHD) is a healthcare provider. based in Wethersfield, Connecticut. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD, PHD. They hold a License No. 044363 (CT). The NPI Number for MARIA RENNA (MD, PHD) is 1164750030

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MARIA RENNA (MD, PHD)
NPI
1164750030
Phone
(860) 263-0263
Address
30 JORDAN LN
Enumeration Date
3 December 2009
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8602630253
Graduation Year
1998 (28 years ago)
PAC ID
5395873178
Group Practice PAC ID
6709787930
Professional Enrollment ID
I20100514000877
Address ID
CT061091278WE30XXXLNXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

131 GERIATRIC MEDICINE in CT

Provider Addresses for MARIA RENNA (MD, PHD)

  • 30 JORDAN LN

    WETHERSFIELD, CT 061091278

    Phone: (860) 263-0263

    Fax: (860) 263-0267

    Type: Mailing

  • 140 Hazard Ave

    Suite 105

    Enfield, CT 060825423

    Phone: (860) 714-9733

    Type: Location

  • 140, Hazard Avenue, Hazardville, Enfield, Hartford County, Connecticut, 06082, United States

    SUITE 105

    ENFIELD, CT 060825423

    Phone: (860) 714-9733

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 167 Open Payments records for all available years, with a total value of $2,900.

Total Amount is formed as General ($2,900) + Research ($0) + Ownership ($0) = $2,900.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($479).

Total Amount

$2,900

General + Research + Ownership

Payments

167

Total payment records

General Amount

$2,900

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100514000877IGeriatric MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes468194$0
83036Hemoglobin a1c level9341$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8686$0
G0444Annual depression screening, 5 to 15 minutes8686$0
G0008Administration of influenza virus vaccine4747$0
View full utilization report →

Insurance plans in this area (ZIP 06109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709787930View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerCT
Gastroenterology, Internal MedicineCT
Pulmonary Disease, Internal MedicineCT
-CT
Nurse PractitionerCT
U R O L O G YMA
Nurse PractitionerCT
Nurse PractitionerCT
E N D O C R I N O L O G YCT

Reviews

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Frequently asked questions

How do I look up MARIA RENNA (MD, PHD) by NPI?
Use NPI 1164750030 when you need to reference MARIA RENNA (MD, PHD) in forms, claims, or directories.
Is MARIA RENNA (MD, PHD) active in the national directory?
MARIA RENNA (MD, PHD)'s public NPI profile is in an active state.
Does MARIA RENNA (MD, PHD) list a primary specialty?
If you are matching referrals, note Geriatric Medicine (Internal Medicine) Physician for MARIA RENNA (MD, PHD). Clinical services aligned with this taxonomy classification.
Where is MARIA RENNA (MD, PHD)'s primary listing?
We display Wethersfield, Connecticut because that is what the record indicates for MARIA RENNA (MD, PHD).
Is MARIA RENNA (MD, PHD) a real provider?
This page reflects official NPPES data for NPI 1164750030. Always confirm identity and privileges with the practice and licensing boards.

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