DR. RENEE CHRISTINE WILLETT M.D.
NPI 1730470303
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since April 29, 2011PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104(215) 590-1858(215) 590-1415 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Jul 30, 2019 (2 updates tracked since 2019).

About Dr. Renee Christine Willett M.d. NPPES

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

DR. RENEE CHRISTINE WILLETT M.D. (NPI 1730470303) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD479298) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Virginia School Of Medicine (2011).

NPPES Registry Identity

NPI1730470303
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. RENEE CHRISTINE WILLETTCredential: M.D.
Location Address3401 CIVIC CENTER BLVD STE 9329Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Ste 9329Philadelphia, PA 19104-4319 · (267) 425-9300 · Fax (267) 425-9331
Fax(215) 590-1415
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2011
Enumeration DateApril 29, 2011
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1730470303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses Licensed in PA · MD479298 Licensed in DC · MD047509
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD047509 (DC)
3401 CIVIC CENTER BLVD STE 9329, Philadelphia, PA 19104

Secondary Practice Locations 3

Location 1111 Michigan Ave NWWashington, DC 20010 · Phone (202) 476-5000
Location 2550 S Goddard BlvdKing Of Prussia, PA 19406-2922 · Phone (610) 337-3232
Location 311100 Euclid Avenue, University Hospitals Case Medical CenterCleveland, OH 44106 · Phone (216) 844-1000

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

Dr. Renee Christine Willett M.d. 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 ID143447714
PECOS Enrollment IDI20230419001022
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.

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.

Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Nurse Anesthetist, Certified Registered
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104

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 Renee Willett's NPI number?

The NPI number for Renee Willett is 1730470303. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is Renee Willett located?

Renee Willett practices at 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104. The listed phone number is (215) 590-1858.

What is Renee Willett's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Renee Willett enrolled in Medicare?

Yes. Renee Willett 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 Renee Willett was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.