MR. EJERZAIN ANILES- RENOVA
NPI 1053873109
Physician Assistant in Phoenix, AZ

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
435 N 5TH ST, PHOENIX, AZ 85004(602) 515-5001 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2020, Oct 18, 2019, Apr 5, 2019 (3 updates tracked since 2019).

About Mr. Ejerzain Aniles- Renova NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EJERZAIN ANILES- RENOVA (NPI 1053873109) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (7602) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053873109
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. EJERZAIN ANILES- RENOVA
Location Address435 N 5TH STPhoenix, AZ 85004-2157
Mailing Address219 W Piedmont RdPhoenix, AZ 85041-8846 · (602) 515-5001
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1053873109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 7602
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

435 N 5TH ST, Phoenix, AZ 85004

Secondary Practice Location 1

Location 15777 E Mayo BlvdPhoenix, AZ 85054-4502 · Phone (480) 342-1800

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ejerzain Aniles- Renova is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173955838
PECOS Enrollment IDI20191118002681
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
435 N 5TH ST
PHOENIX, AZ 85004
Student in an Organized Health Care Education/Training Program
435 N 5TH ST
PHOENIX, AZ 85004
Occupational Therapist
435 N 5TH ST
PHOENIX, AZ 85004
Student in an Organized Health Care Education/Training Program
435 N 5TH ST
PHOENIX, AZ 85004
Student in an Organized Health Care Education/Training Program
435 N 5TH ST
PHOENIX, AZ 85004
Student in an Organized Health Care Education/Training Program
435 N 5TH ST
PHOENIX, AZ 85004
Student in an Organized Health Care Education/Training Program
435 N 5TH ST
PHOENIX, AZ 85004
Physician Assistant
435 N 5TH ST
PHOENIX, AZ 85004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ejerzain Aniles- Renova's NPI number?

The NPI number for Ejerzain Aniles- Renova is 1053873109. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Ejerzain Aniles- Renova located?

Ejerzain Aniles- Renova practices at 435 N 5th St, Phoenix, AZ 85004. The listed phone number is (602) 515-5001.

What is Ejerzain Aniles- Renova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ejerzain Aniles- Renova enrolled in Medicare?

Yes. Ejerzain Aniles- Renova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ejerzain Aniles- Renova accept?

Health plans from Sanford Health Plan list Ejerzain Aniles- Renova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ejerzain Aniles- Renova was last updated on October 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.