SALLY TAN RENEHAN MD, MPH
NPI 1316437783
Student in an Organized Health Care Education/Training Program in Concord, MA

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
290 BAKER AVE STE N220, CONCORD, MA 01742(978) 254-1600 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Tan Renehan Md, Mph NPPES

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

SALLY TAN RENEHAN MD, MPH (NPI 1316437783) is an individual student in an organized health care education/training program in Concord, Massachusetts and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1316437783
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSALLY TAN RENEHANCredential: MD, MPH
Location Address290 BAKER AVE STE N220Concord, MA 01742-2190
Mailing Address290 Baker Ave Ste N220Concord, MA 01742-2190 · (978) 254-1600
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2018
Enumeration DateMay 11, 2018
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1316437783 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.
290 BAKER AVE STE N220, Concord, MA 01742

Secondary Practice Location 1

Location 1625 Mount Auburn St Fl 1Cambridge, MA 02138-4555 · Phone (617) 354-5658

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

Sally Tan Renehan Md, Mph 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 ID3072861178
PECOS Enrollment IDI20221018001970
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 16

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.

Test for allergy using skin patch 95044
A skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.
1,020 services11 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
226 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
139 services122 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services82 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
71 services68 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
63 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Dermatology
290 BAKER AVE STE N220
CONCORD, MA 01742
Physician Assistant
290 BAKER AVE STE N220
CONCORD, MA 01742

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 Sally Tan Renehan's NPI number?

The NPI number for Sally Tan Renehan is 1316437783. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Sally Tan Renehan located?

Sally Tan Renehan practices at 290 Baker Ave Ste N220, Concord, MA 01742. The listed phone number is (978) 254-1600.

What is Sally Tan Renehan's specialty?

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

Is Sally Tan Renehan enrolled in Medicare?

Yes. Sally Tan Renehan 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 Sally Tan Renehan accept?

Health plans from Anthem Blue Cross and Blue Shield list Sally Tan Renehan 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 Sally Tan Renehan affiliated with any hospitals?

According to CMS data, Sally Tan Renehan is affiliated with Mount Auburn Hospital, Emerson Hospital - and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Sally Tan Renehan was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.