DR. HENRI RENOM DE LA BAUME (MD) – Gastroenterology Physician, NPI 1790769792
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. HENRI RENOM DE LA BAUME (MD)
8311 HOLLY HAVEN LN
FAIRFAX STATION, VA 220393223
Phone: (703) 690-7087
Fax: (703) 493-8224
Type: Mailing
9501, Farrell Road, Fort Belvoir South Post, Fort Belvoir, Fairfax County, Virginia, 22060, United States
DEWITT ARMY COMMUNITY HOSPITAL
FORT BELVOIR, VA 22060
Phone: (703) 805-0071
Fax: (703) 805-0189
Type: Location
9501 Farrell Road
Dewitt Army Community Hospital
Fort Belvoir, VA 22060
Phone: (703) 805-0071
Fax: (703) 805-0189
Type: Location
17336 PICKWICK DR STE C
PURCELLVILLE, VA 201326180
Phone: (540) 338-3636
Fax: (540) 441-0301
Type: Location
190 CAMPUS BLVD STE 300
WINCHESTER, VA 226012872
Phone: (540) 667-1244
Fax: (540) 667-3086
Type: Mailing
9300 DEWITT LOOP
FORT BELVOIR, VA 220605285
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Medtronic, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $16 |
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: 2013-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131122000406 | I | Gastroenterology | VA | TBD |
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.
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 22039)
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