PAUL RENN IV
NPI 1720490030
Counselor - Professional in Philadelphia, PA

Q: What is Paul Renn's NPI number?

The NPI number for Paul Renn is 1720490030. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Q: What is Paul Renn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Paul Renn was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 21, 2014PECOS EnrolledAccepts Medicare Assignment

2310 CHRISTOPHER COLUMBUS BLVD, PHILADELPHIA, PA 19148(215) 867-7098(267) 288-0389 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Paul Renn Iv NPPES

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

PAUL RENN IV (NPI 1720490030) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW019392) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720490030

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NamePAUL RENN IV

Location Address2310 CHRISTOPHER COLUMBUS BLVDPhiladelphia, PA 19148-4206

Mailing Address5201 Haverford AvePhiladelphia, PA 19139-1401 · (215) 471-2761

Phone(215) 867-7098

Fax(267) 288-0389

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 21, 2014

Last NPPES UpdateSeptember 14, 2023

NPPES CertifiedSeptember 14, 2023

✔ NPI 1720490030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · CW019392

2310 CHRISTOPHER COLUMBUS BLVD, Philadelphia, PA 19148

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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

Paul Renn Iv 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 ID446537906

PECOS Enrollment IDI20170510001558

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

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.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Other Providers at the Same Location NPPES 4

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

BIQIAN LIU

Nurse Practitioner (Family)

2310 CHRISTOPHER COLUMBUS BLVD
PHILADELPHIA, PA 19148

Philadelphia County (215) 867-7098

JOY WALL

Nurse Practitioner (Family)

2310 CHRISTOPHER COLUMBUS BLVD
PHILADELPHIA, PA 19148

Philadelphia County (215) 867-7098

KELSEY PAOLINI CRNP

Nurse Practitioner (Family)

2310 CHRISTOPHER COLUMBUS BLVD
PHILADELPHIA, PA 19148

Philadelphia County (215) 297-6675

DR. MATTHEW JOHN KING M.D.

Family Medicine

2310 CHRISTOPHER COLUMBUS BLVD
PHILADELPHIA, PA 19148

Philadelphia County (267) 288-0389

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 Paul Renn's NPI number?

The NPI number for Paul Renn is 1720490030. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Paul Renn located?

Paul Renn practices at 2310 Christopher Columbus Blvd, Philadelphia, PA 19148. The listed phone number is (215) 867-7098.

What is Paul Renn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Paul Renn enrolled in Medicare?

Yes. Paul Renn 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.

When was this NPI record last updated?

The NPPES record for Paul Renn was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.