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ETHAN MICHAEL RENFREW
NPI 1215729801
Internal Medicine in Tucson, AZ

Active since May 20, 2025PECOS Enrolled
2800 E AJO WAY STE 100, TUCSON, AZ 85713(520) 874-2778(520) 874-3456 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Michael Renfrew NPPES

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

ETHAN MICHAEL RENFREW (NPI 1215729801) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (R4525) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215729801
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameETHAN MICHAEL RENFREW
Location Address2800 E AJO WAY STE 100Tucson, AZ 85713-6204
Mailing Address2800 E Ajo Way Ste 100Tucson, AZ 85713-6204 · (520) 874-2778 · Fax (520) 874-3456
Phone(520) 874-2778
Fax(520) 874-3456
Sole ProprietorNo
Enumeration DateMay 20, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1215729801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · R4525
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2800 E AJO WAY STE 100, Tucson, AZ 85713
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Michael Renfrew 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WILLIAM JOSEPH MATLOFF
Internal Medicine
2800 E AJO WAY STE 100
TUCSON, AZ 85713
Pima County (520) 874-2778
LAURA TRAN MD
Internal Medicine
2800 E AJO WAY STE 100
TUCSON, AZ 85713
Pima County (520) 874-2778
NINA MAITRA
Internal Medicine
2800 E AJO WAY STE 100
TUCSON, AZ 85713
Pima County (520) 874-2778
DR. ASHTON FITZGERALD MD
Physical Medicine & Rehabilitation
2800 E AJO WAY STE 100
TUCSON, AZ 85713
Pima County (520) 874-2000
HO HYUN LEE
Internal Medicine
2800 E AJO WAY STE 100
TUCSON, AZ 85713
Pima County (520) 874-2778
SRIJIT PAUL MD
Internal Medicine
2800 E AJO WAY STE 100
TUCSON, AZ 85713
Pima County (520) 874-2778
MYLES HORACE MIREKU BOSOMPEM MD
Internal Medicine
2800 E AJO WAY STE 100
TUCSON, AZ 85713
Pima County (520) 874-2778
EDUARDO ALONSO GARCIA LICERIO MD
Internal Medicine
2800 E AJO WAY STE 100
TUCSON, AZ 85713
Pima County (520) 874-2778

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 Ethan Renfrew's NPI number?

The NPI number for Ethan Renfrew is 1215729801. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Ethan Renfrew located?

Ethan Renfrew practices at 2800 E Ajo Way Ste 100, Tucson, AZ 85713. The listed phone number is (520) 874-2778.

What is Ethan Renfrew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ethan Renfrew enrolled in Medicare?

Yes. Ethan Renfrew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Renfrew was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.