DR. MARTHA HOPE RENN MD
NPI 1992448641
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 19, 2022PECOS Enrolled
610 W 158TH ST, NEW YORK, NY 10032(866) 463-2778 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Martha Hope Renn Md NPPES

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

DR. MARTHA HOPE RENN MD (NPI 1992448641) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Columbia University College Of Physicians And Surgeons (2022).

NPPES Registry Identity

NPI1992448641
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARTHA HOPE RENNCredential: MD
Location Address610 W 158TH STNew York, NY 10032-7104
Mailing Address720 Fort Washington Ave Apt 2eNew York, NY 10040-3713 · (860) 501-8920
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2022
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1992448641 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.
610 W 158TH ST, New York, NY 10032

Other Names 1

Other Name (5)Dr. Mattie Hope Renn Md

Secondary Practice Location 1

Location 15141 BroadwayNew York, NY 10034-1159 · Phone (212) 932-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Martha Hope Renn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668966300
PECOS Enrollment IDI20251210003213
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 Martha Renn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
50-98 EAST 168TH STREET
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 347 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.

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.

Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
General Practice
610 W 158TH ST
NEW YORK, NY 10032
Podiatrist
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032

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 Martha Renn's NPI number?

The NPI number for Martha Renn is 1992448641. It was assigned to this individual provider in the NPPES registry on April 19, 2022. The provider is also known as Dr. Mattie Hope Renn MD.

Where is Martha Renn located?

Martha Renn practices at 610 W 158th St, New York, NY 10032. The listed phone number is (866) 463-2778.

What is Martha Renn's specialty?

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

Is Martha Renn enrolled in Medicare?

Yes. Martha Renn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Martha Renn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Renn reassigns Medicare benefits to The Institute For Family Health (Bronx, NY). 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 Martha Renn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Martha Renn was last updated on April 19, 2022. 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.