RENAISSANCE MEDICAL FOUNDATION – Internal Medicine Physician, NPI 1467633867
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RENAISSANCE MEDICAL FOUNDATION
PO BOX 3293
MCALLEN, TX 785023293
Phone: (956) 362-3300
Fax: (956) 362-7684
Type: Mailing
PO BOX 749
PHARR, TX 785771614
Phone: (956) 362-2171
Fax: (956) 362-3614
Type: Mailing
Doctors Hospital at Renaissance, 5501, South McColl Road, Edinburg, Hidalgo County, Texas, 78539, United States
EDINBURG, TX 785399152
Phone: (956) 362-3300
Fax: (956) 362-7684
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (219 days ago).
Enrollment records
24
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080422000326 | O | Clinic/Group Practice | TX | 2025-10-31 |
| O20241007000481 | O | Clinic/Group Practice | OK | TBD |
| O20241008000419 | O | Clinic/Group Practice | CO | TBD |
| O20241010003605 | O | Clinic/Group Practice | CA | TBD |
| O20241011001107 | O | Clinic/Group Practice | HI | TBD |
| O20241011003889 | O | Clinic/Group Practice | AZ | TBD |
| O20241017003538 | O | Clinic/Group Practice | WA | TBD |
| O20241021003236 | O | Clinic/Group Practice | VA | TBD |
| O20241024001712 | O | Clinic/Group Practice | NV | TBD |
| O20241024003210 | O | Clinic/Group Practice | PR | TBD |
| O20241104001914 | O | Clinic/Group Practice | WI | TBD |
| O20241109000439 | O | Clinic/Group Practice | NJ | TBD |
| O20241115004280 | O | Clinic/Group Practice | FL | TBD |
| O20241120003906 | O | Clinic/Group Practice | MD | TBD |
| O20241122001567 | O | Clinic/Group Practice | GA | TBD |
| O20241125001747 | O | Clinic/Group Practice | DC | TBD |
| O20241226001666 | O | Clinic/Group Practice | PA | TBD |
| O20250102001259 | O | Clinic/Group Practice | KY | TBD |
| O20250106003722 | O | Clinic/Group Practice | MN | TBD |
| O20250205003985 | O | Clinic/Group Practice | TN | TBD |
| O20250402000698 | O | Clinic/Group Practice | MI | TBD |
| O20250618000590 | O | Clinic/Group Practice | DE | TBD |
| O20250716001596 | O | Clinic/Group Practice | MA | TBD |
| O20250808001606 | O | Clinic/Group Practice | IL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78502)
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