RENAISSANCE OB/GYN, P.C.
NPI 1487832275
Specialist in Astoria, NY

Active since February 05, 2008CLIA 33D0999151 · Waiver
2747 CRESCENT ST S, SUITE 104, ASTORIA, NY 11102(718) 626-0887(718) 626-0888 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Renaissance Ob/gyn, P.c. NPPES

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

RENAISSANCE OB/GYN, P.C. (NPI 1487832275) is a healthcare organization registered as a specialist in Astoria, New York and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Pericles M Spyropoulos, President, as its authorized official.

NPPES Registry Identity

NPI1487832275
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRENAISSANCE OB/GYN, P.C.
Location Address2747 CRESCENT ST S, SUITE 104Astoria, NY 11102-3142
Mailing Address27-47 Crescent St, Suite 104Astoria, NY 11102 · (718) 626-0887 · Fax (718) 626-0888
Fax(718) 626-0888
Organization SubpartNo
Authorized OfficialPericles M SpyropoulosPresident · (718) 777-7236
Enumeration DateFebruary 5, 2008
✔ NPI 1487832275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 193132
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2747 CRESCENT ST S, Astoria, NY 11102

Other Identifiers 3

Medicare UPINF15122NY
Medicaid01467032NY
Medicare PIN02209NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renaissance Ob/gyn, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120501000262Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Renaissance Ob/Gyn, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1609971407
2747 CRESCENT ST SUITE 104
Astoria, NY 11102
(718) 777-7236
✔ PECOSSame address

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 33D0999151

Renaissance Ob/Gyn PC · Astoria, NY
Active · expires May 17, 2027
CLIA Number33D0999151
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorDr. Pericles Spyropoulos
Laboratory Phone(718) 626-0887
Laboratory LocationRenaissance Ob/Gyn PC30-80 21st Street, Medical Suite 2, Astoria, NY 11102
CLIA data matches this NPI record on: 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 Renaissance Ob/Gyn, P.C.'s NPI number?

The NPI number for Renaissance Ob/Gyn, P.C. is 1487832275. It was assigned to this organization in the NPPES registry on February 5, 2008.

Where is Renaissance Ob/Gyn, P.C. located?

Renaissance Ob/Gyn, P.C. is located at 2747 Crescent St S Suite 104, Astoria, NY 11102. The listed phone number is (718) 626-0887.

What is Renaissance Ob/Gyn, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Renaissance Ob/Gyn, P.C. enrolled in Medicare?

Yes. Renaissance Ob/Gyn, P.C. is registered in the Medicare PECOS enrollment system.

When is Renaissance Ob/Gyn, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Renaissance Ob/Gyn, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Renaissance Ob/Gyn, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Renaissance Ob/Gyn, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0999151) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renaissance Ob/Gyn, P.C. was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.