Renovo Medical Group — NPI 1275931982

Renovo Medical Group’s National Provider Identifier is 1275931982. NPPES classifies this as a Type 2 organization record and reports a practice location in Shoreline, Washington. The primary taxonomy is Adult Medicine Physician.

Key facts

NPI
1275931982
Entity type
Type 2 organization
NPPES status
Active in the August 10, 2026 snapshot
Practice location
19930 BALLINGER WAY NE
Shoreline, Washington 98155
Practice telephone
(425) 778-2220
Primary taxonomy
Adult Medicine Physician (207QA0505X)
Allopathic & Osteopathic Physicians › Family Medicine › Adult Medicine
Additional taxonomies
  • Obesity Medicine (Family Medicine) Physician (207QB0002X)
  • Sleep Medicine (Family Medicine) Physician (207QS1201X)
  • Surgery Physician (208600000X)
Enumeration date
December 11, 2014
NPPES last update
June 20, 2018
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Renovo Medical Group?

The NPI listed for Renovo Medical Group in the NPPES snapshot is 1275931982. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1275931982 an individual or organization record?

NPPES records NPI 1275931982 as an Entity Type 2 record, which CMS assigns to an organization health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 19930 BALLINGER WAY NE, Shoreline, Washington 98155.

What taxonomy codes are listed for this NPI?

4 taxonomy codes are listed. Primary: Adult Medicine Physician (207QA0505X). Additional: Obesity Medicine (Family Medicine) Physician (207QB0002X); Sleep Medicine (Family Medicine) Physician (207QS1201X); Surgery Physician (208600000X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of June 20, 2018 and an enumeration date of December 11, 2014, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Shoreline, Washington NPI directory and the Washington NPI directory.

Other published profiles in Shoreline, WA

Up to ten other profiles this site publishes for Shoreline, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 42 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.