RENOVO WOUND AND HYPERBARICS PLLC – Undersea and Hyperbaric Medicine (Emergency Medicine) Physician, NPI 1629683602
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RENOVO WOUND AND HYPERBARICS PLLC
PO BOX 734964
DALLAS, TX 753734964
Phone: (405) 418-4800
Fax: (405) 418-4820
Type: Mailing
5668 EDWARDS RANCH ROAD
SUITE 101
FORT WORTH, TX 76107
Phone: (817) 764-1565
Type: Location
5668 Edwards Ranch Rd Ste 101
Fort Worth, TX 761094109
Phone: (817) 764-1554
Type: Location
1001 W Arbrook Blvd Ste 161
Arlington, TX 760154222
Phone: (817) 402-0952
Type: Location
PO BOX 842861
DALLAS, TX 752842861
Phone: (972) 675-7266
Fax: (972) 607-4655
Type: Mailing
401 N VALLEY PKWY STE 380
LEWISVILLE, TX 750673472
Phone: (469) 904-6428
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: 2020-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (105 days ago).
Enrollment records
1
Earliest due date
2026-02-28
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 |
|---|---|---|---|---|
| O20201027000401 | O | Clinic/Group Practice | TX | 2026-02-28 |
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 75373)
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