NIKOLAI E RENEDO MD
NPI 1760061543
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
MAINE MEDICAL CENTER, 22 BRAMHALL STREET, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nikolai E Renedo Md NPPES

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

NIKOLAI E RENEDO MD (NPI 1760061543) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Harvard Medical School (2021).

NPPES Registry Identity

NPI1760061543
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNIKOLAI E RENEDOCredential: MD
Location AddressMAINE MEDICAL CENTER, 22 BRAMHALL STREETPortland, ME 04102
Mailing AddressMaine Medical Center, 22 Bramhall StreetPortland, ME 04102
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2021
Enumeration DateApril 7, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1760061543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
MAINE MEDICAL CENTER, Portland, ME 04102

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

Nikolai E Renedo 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 ID9234531609
PECOS Enrollment IDI20240813001339
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 Reassignment

Medicare enrollment records show Nikolai Renedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
464 HILLSIDE AVE, SUITE 304
Needham, MA 02494
  • Reassigned Medicare billing, Massachusetts enrollment
  • 356 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

Obstetrics & Gynecology
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Emergency Medicine
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Physical Medicine & Rehabilitation
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102

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 Nikolai Renedo's NPI number?

The NPI number for Nikolai Renedo is 1760061543. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Nikolai Renedo located?

Nikolai Renedo practices at Maine Medical Center 22 Bramhall Street, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Nikolai Renedo's specialty?

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

Is Nikolai Renedo enrolled in Medicare?

Yes. Nikolai Renedo 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 organization bills Medicare for Nikolai Renedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikolai Renedo reassigns Medicare benefits to Medical Care Of Boston Management Corporation (Needham, MA). The 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 Nikolai Renedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikolai Renedo accept?

Health plans from Taro Health list Nikolai Renedo 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.

Is Nikolai Renedo affiliated with any hospitals?

According to CMS data, Nikolai Renedo is affiliated with Beth Israel Deaconess Hospital - Needham and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Nikolai Renedo was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.