WILLIAM MAX NDEGWA RENNEBOHM MD
NPI 1104396241
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since December 02, 2018PECOS EnrolledAccepts Medicare Assignment
550 16TH AVE STE 400, SEATTLE, WA 98122(206) 320-2484 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Aug 22, 2023, May 25, 2023 and 2 more (5 updates tracked since 2018).

About William Max Ndegwa Rennebohm Md NPPES

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

WILLIAM MAX NDEGWA RENNEBOHM MD (NPI 1104396241) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Multicare Auburn Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104396241
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM MAX NDEGWA RENNEBOHMCredential: MD
Location Address550 16TH AVE STE 400Seattle, WA 98122-5636
Mailing Address550 16th Ave Ste 400Seattle, WA 98122-5636 · (206) 320-2484
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2020
Enumeration DateDecember 2, 2018
Last NPPES UpdateApril 3, 20205 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
NPI 1104396241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
550 16TH AVE STE 400, Seattle, WA 98122

Other Names 1

Former Name (1)William Max Rennebohm

Secondary Practice Locations 2

Location 1550 16th Ave Ste 400Seattle, WA 98122-5636 · Phone (206) 320-2484
Location 226401 Pacific Hwy S Ste 102Des Moines, WA 98198-9247 · Phone (877) 233-0246

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

William Max Ndegwa Rennebohm Md 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 ID6901222587
PECOS Enrollment IDI20230731003132
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Multicare Auburn Medical Center

Acute Care Hospitals · Auburn, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500015
Location202 North Division Street Plaza OneAuburn, WA 98001 · King County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$66.66 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
550 16TH AVE STE 400
SEATTLE, WA 98122
Student in an Organized Health Care Education/Training Program
550 16TH AVE STE 400
SEATTLE, WA 98122
Student in an Organized Health Care Education/Training Program
550 16TH AVE STE 400
SEATTLE, WA 98122
Student in an Organized Health Care Education/Training Program
550 16TH AVE STE 400
SEATTLE, WA 98122
Student in an Organized Health Care Education/Training Program
550 16TH AVE STE 400
SEATTLE, WA 98122
Student in an Organized Health Care Education/Training Program
550 16TH AVE STE 400
SEATTLE, WA 98122
Student in an Organized Health Care Education/Training Program
550 16TH AVE STE 400
SEATTLE, WA 98122
Student in an Organized Health Care Education/Training Program
550 16TH AVE STE 400
SEATTLE, WA 98122

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 William Ndegwa Rennebohm's NPI number?

The NPI number for William Ndegwa Rennebohm is 1104396241. It was assigned to this individual provider in the NPPES registry on December 2, 2018. The provider is also known as William Max Rennebohm.

Where is William Ndegwa Rennebohm located?

William Ndegwa Rennebohm practices at 550 16th Ave Ste 400, Seattle, WA 98122. The listed phone number is (206) 320-2484.

What is William Ndegwa Rennebohm's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Ndegwa Rennebohm enrolled in Medicare?

Yes. William Ndegwa Rennebohm 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 William Ndegwa Rennebohm accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list William Ndegwa Rennebohm 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.

Is William Ndegwa Rennebohm affiliated with any hospitals?

According to CMS data, William Ndegwa Rennebohm is affiliated with Multicare Auburn Medical Center and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for William Ndegwa Rennebohm was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.