Renaissance Medical Group, Inc.
NPI 1396117610 · Community/Behavioral Health Agency · Fairmount Heights, MD
Renaissance Medical Group, Inc. is a Community/Behavioral Health Agency organization in Fairmount Heights, MD (NPI 1396117610).
Provider details
- NPI number
- 1396117610
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Andrea Syphax, Administrator(301) 925-2255
- License
- 104804 (MD)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Renaissance Treatment Center
Registry dates
- Enumerated
- 2015-10-26
- Last updated
- 2015-10-26
Frequently asked questions
- What is Renaissance Medical Group, Inc.'s NPI number?
- Renaissance Medical Group, Inc.'s National Provider Identifier (NPI) is 1396117610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Medical Group, Inc.?
- Renaissance Medical Group, Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Renaissance Medical Group, Inc. located?
- Renaissance Medical Group, Inc.'s practice location on file with NPPES is 525 Eastern Ave, Fairmount Heights, MD 20743-1677.
- What is Renaissance Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Renaissance Medical Group, Inc. is (301) 925-2255.
- Who is the authorized official for Renaissance Medical Group, Inc.?
- The authorized official listed on Renaissance Medical Group, Inc.'s NPPES record is Andrea Syphax, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Medical Group, Inc.'s NPI active?
- Yes — Renaissance Medical Group, Inc.'s NPI (1396117610) is active in the NPPES registry as of the last update on 2015-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.