VINCENT ALEXANDER RENTA IV MD
NPI 1639865140
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since April 17, 2023PECOS EnrolledAccepts Medicare Assignment
580 RICE ST, SAINT PAUL, MN 55103(651) 227-6551 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, May 18, 2024 (2 updates tracked since 2024).

About Vincent Alexander Renta Iv Md NPPES

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

VINCENT ALEXANDER RENTA IV MD (NPI 1639865140) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeville, and is a graduate of Medical College Of Wisconsin (2023).

NPPES Registry Identity

NPI1639865140
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVINCENT ALEXANDER RENTA IVCredential: MD
Location Address580 RICE STSaint Paul, MN 55103-2148
Mailing Address580 Rice StSaint Paul, MN 55103-2148 · (651) 227-6551
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2023
Enumeration DateApril 17, 2023
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1639865140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 77826 (MN)
580 RICE ST, Saint Paul, MN 55103

Secondary Practice Location 1

Location 117489 Dodd BlvdLakeville, MN 55044-6506 · Phone (952) 428-1020 · Fax (952) 428-1025

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vincent Alexander Renta Iv 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 ID5799144358
PECOS Enrollment IDI20241022003981
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Vincent Renta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Clinic/Center
580 RICE ST
Saint Paul, MN 55103
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Internal Medicine
45 10TH STREET WEST
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Healtheast Medical Research Institute
  • 2,361 clinicians in this Medicare group
General Practice
225 SMITH AVE N, STE 300
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group

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

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
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Community/Behavioral Health
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Pharmacist
580 RICE ST
SAINT PAUL, MN 55103
Student in an Organized Health Care Education/Training Program
580 RICE ST, BETHESDA CLINIC
SAINT PAUL, MN 55103

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 Vincent Renta's NPI number?

The NPI number for Vincent Renta is 1639865140. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Vincent Renta located?

Vincent Renta practices at 580 Rice St, Saint Paul, MN 55103. The listed phone number is (651) 227-6551.

What is Vincent Renta's specialty?

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

Is Vincent Renta enrolled in Medicare?

Yes. Vincent Renta 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.

Which organizations bill Medicare for Vincent Renta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Renta reassigns Medicare benefits to 3 organizations: Fairview Clinics (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN) and Allina Health System (St Paul, MN). Each 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 Vincent Renta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Renta accept?

Health plans from HealthPartners and Sanford Health Plan list Vincent Renta 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 Vincent Renta was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.