DR. JUAN RENDON M.D., PH.D.
NPI 1720492812
Plastic Surgery in Philadelphia, PA

Q: What is Juan Rendon's NPI number?

The NPI number for Juan Rendon is 1720492812. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Q: What is Juan Rendon's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Rendon was last updated on December 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 17, 2014PECOS Enrolled

3400 CIVIC CENTER BLVD FL 14, PHILADELPHIA, PA 19104(215) 662-7659 Get Directions Write a Review

NPPES record last updated: December 24, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Juan Rendon M.d., Ph.d. NPPES

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

DR. JUAN RENDON M.D., PH.D. (NPI 1720492812) is an individual plastic surgery provider in Philadelphia, Pennsylvania, licensed in California (A172824) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2014).

NPPES Registry Identity

NPI1720492812

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. JUAN RENDONCredential: M.D., PH.D.

Location Address3400 CIVIC CENTER BLVD FL 14Philadelphia, PA 19104-5127

Mailing Address3640 Lomita Blvd Ste 306Torrance, CA 90505-3904 · (310) 784-0644

Phone(215) 662-7659

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2014

Enumeration DateJune 17, 2014

Last NPPES UpdateDecember 24, 2021

NPPES CertifiedDecember 24, 2021

✔ NPI 1720492812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A172824

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

3400 CIVIC CENTER BLVD FL 14, Philadelphia, PA 19104

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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 (PECOS)

Dr. Juan Rendon M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214342419

PECOS Enrollment IDI20211110001392

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

SHARBEL ELHAGE

Surgery