REDERM PLLC
NPI 1659244796
General Practice in Odessa, FL

Active since September 25, 2025
16133 TUSCANY HILLSIDE RD, ODESSA, FL 33556(253) 376-2388 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rederm Pllc NPPES

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

REDERM PLLC (NPI 1659244796) is a healthcare organization registered as a general practice in Odessa, Florida and active in the NPI registry since September 2025. The organization lists Ranj Shwany, Owner, as its authorized official.

NPPES Registry Identity

NPI1659244796
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREDERM PLLC
Location Address16133 TUSCANY HILLSIDE RDOdessa, FL 33556-2790
Mailing Address16133 Tuscany Hillside RdOdessa, FL 33556-2790 · (253) 376-2388
Organization SubpartNo
Authorized OfficialRanj ShwanyOwner · (253) 376-2388
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1659244796 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
16133 TUSCANY HILLSIDE RD, Odessa, FL 33556

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rederm Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rederm PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1184354276
400 S 43RD ST
Renton, WA 98055
(206) 575-2574
✔ PECOS✔ Accepts Medicare2,504 mi

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

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 Rederm PLLC's NPI number?

The NPI number for Rederm PLLC is 1659244796. It was assigned to this organization in the NPPES registry on September 25, 2025.

Where is Rederm PLLC located?

Rederm PLLC is located at 16133 Tuscany Hillside Rd, Odessa, FL 33556. The listed phone number is (253) 376-2388.

What is Rederm PLLC's specialty?

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

Is Rederm PLLC enrolled in Medicare?

Yes. Rederm PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rederm PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rederm PLLC. 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.

When was this NPI record last updated?

The NPPES record for Rederm PLLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.