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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RENOVA MEDICAL CENTER, LLC
NPI 1447741681
General Practice in Columbia, MO

Active since May 23, 2018CLIA 26D2271889 · Waiver
1401 FORUM BLVD STE 202, COLUMBIA, MO 65203(573) 228-0217(573) 234-1368 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2026, May 23, 2018 (2 updates tracked since 2018).

About Renova Medical Center, Llc NPPES

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

RENOVA MEDICAL CENTER, LLC (NPI 1447741681) is a healthcare organization registered as a general practice in Columbia, Missouri and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through November 8, 2026, maintains 2 additional practice locations, and lists Aaron C Rose, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1447741681
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameRENOVA MEDICAL CENTER, LLC
Location Address1401 FORUM BLVD STE 202Columbia, MO 65203-1915
Mailing Address503 E. Forum Blvd, #102Columbia, MO 65201 · (573) 234-1367 · Fax (573) 818-1016
Phone(573) 228-0217
Fax(573) 234-1368
Organization SubpartNo
Authorized OfficialAaron C RoseOwner/ceo · (573) 234-1367
Enumeration DateMay 23, 2018
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1447741681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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
1401 FORUM BLVD STE 202, Columbia, MO 65203
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1211 NW Executive Way Ste ELees Summit, MO 64063-1846 · Phone (816) 434-5205 · Fax (816) 434-5207
Location 2860 Haines Ste 220Liberty, MO 64068-1089 · Phone (816) 222-4195 · Fax (816) 222-4292

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renova Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Renova Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Shane Holloway, FNP-C
Nurse Practitioner
NPI 1821534231
1401 FORUM BLVD STE 202
Columbia, MO 65203
(573) 234-1367
✔ PECOSSame address
Joni Ahern, NP
Nurse Practitioner
NPI 1033570205
210 PORTLAND ST STE 100
Columbia, MO 65201
(573) 777-8818
✔ PECOS✔ Accepts Medicare4.2 mi
Robert Calaluce, MD
General Practice
NPI 1235648551
140 WALTER WILLIAMS HALL
Columbia, MO 65211
(573) 882-4204
✔ PECOS14 mi
Rachael Goodman
Nurse Practitioner
NPI 1013569151
211 NW EXECUTIVE WAY STE E
Lees Summit, MO 64063
(816) 434-5205
✔ PECOS✔ Accepts Medicare110 mi
Kristen Murphy, NP
Nurse Practitioner
NPI 1427941640
211 NW EXECUTIVE WAY
Lees Summit, MO 64063
(816) 509-3192
✔ PECOS✔ Accepts Medicare110 mi
Devin Schwartzburg
Nurse Practitioner
NPI 1720796717
211 NW EXECUTIVE WAY STE E
Lees Summit, MO 64063
(816) 509-3192
✔ PECOS✔ Accepts Medicare110 mi
Christopher Maxwell, MD
Family Practice
NPI 1740278464
107 W 9TH ST FL 2
Kansas City, MO 64105
(410) 570-5433
✔ PECOS✔ Accepts Medicare120 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2271889

Renova Medical Center, LLC · Columbia, MO
Active · expires Nov 8, 2026
CLIA Number26D2271889
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorRobert Calaluce
Laboratory Phone(573) 234-1367
Laboratory LocationRenova Medical Center, LLC1401 Forum Blvd, Suite 202, Columbia, MO 65203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Renova Medical Center, LLC's NPI number?

The NPI number for Renova Medical Center, LLC is 1447741681. It was assigned to this organization in the NPPES registry on May 23, 2018.

Where is Renova Medical Center, LLC located?

Renova Medical Center, LLC is located at 1401 Forum Blvd Ste 202, Columbia, MO 65203. The listed phone number is (573) 228-0217.

What is Renova Medical Center, LLC's specialty?

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

Is Renova Medical Center, LLC enrolled in Medicare?

Yes. Renova Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renova Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Renova Medical Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (1) and General Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Renova Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2271889) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renova Medical Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Renova Medical Center, LLC 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 Renova Medical Center, LLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.