RENOVO MEDICAL LLC
RENOVO MEDICAL LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1083864219, based in Garden City, KS. The organization lists 4 taxonomy classifications, with General Practice Physician recorded as primary.
Getting there
The practice address on file is 816 N CAMPUS DR SUITE 500, Garden City, KS 67846. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| KS0434389 | KS | General Practice Physician primary |
| 0416265 | KS | Phlebology Physician |
| 1500265 | KS | Surgical Physician Assistant |
| 45404 | KS | Family Nurse Practitioner |
This provider holds licence KS0434389 issued in KS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | KS0434389 | KS | primary |
| 202K00000X | Phlebology Physician | 0416265 | KS | |
| 363AS0400X | Surgical Physician Assistant Surgical | 1500265 | KS | |
| 363LF0000X | Family Nurse Practitioner Family | 45404 | KS |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1083864219 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 24, 2008 |
| Last updated | Mar 5, 2016 |
| Status | Active |
| Practice address |
816 N CAMPUS DR SUITE 500 Garden City, KS 67846 (620) 805-5162 Fax (620) 805-5183 |
| Other identifiers |
200063310F
· Medicaid (KS) 1669659967 · Other (KS) 659930 · Other 055515 · Other 1730135500 · Other (KS) 1487634069 · Other (KS) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 8 | 3 | 8 | 6 | 4 | 2 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 7 | 3 | 7 | 6 | 8 | 2 | 2 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.