LUKE GIBSON RENNER
NPI 1093380131
General Practice in Hamburg, PA

Active since May 21, 2021PECOS Enrolled
700 HAWK RIDGE DR, HAMBURG, PA 19526(610) 562-3066(610) 562-3125 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luke Gibson Renner NPPES

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

LUKE GIBSON RENNER (NPI 1093380131) is an individual general practice provider in Hamburg, Pennsylvania, licensed in Pennsylvania (OT020721) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1093380131
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameLUKE GIBSON RENNER
Location Address700 HAWK RIDGE DRHamburg, PA 19526-9219
Mailing Address2787 Bridle Path StSlatington, PA 18080-4033 · (484) 226-5815
Fax(610) 562-3125
Sole ProprietorNo
Enumeration DateMay 21, 2021
NPPES CertifiedMay 21, 2021
NPI 1093380131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PA · OT020721
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

700 HAWK RIDGE DR, Hamburg, PA 19526

Secondary Practice Location 1

Location 1400 N 17th St Ste 300Allentown, PA 18104-5052 · Phone (610) 969-3500 · Fax (610) 969-3605

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luke Gibson Renner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Nurse Practitioner (Primary Care)
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Student in an Organized Health Care Education/Training Program
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526

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 Luke Renner's NPI number?

The NPI number for Luke Renner is 1093380131. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Luke Renner located?

Luke Renner practices at 700 Hawk Ridge Dr, Hamburg, PA 19526. The listed phone number is (610) 562-3066.

What is Luke Renner's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Luke Renner enrolled in Medicare?

Yes. Luke Renner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luke Renner was last updated on May 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.