Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John David Renucci, MD

Individual provider Plastic Surgery Physician · NPI 1487659827

Mr. John David Renucci, MD is a Plastic and Reconstructive Surgery in Grand Rapids, Michigan. Graduated from Columbia University College of Physicians and Surgeons in 1995, 31 years ago. Practices with Plastic Surgery Associates PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

220 Lyon St NW Ste 700
Grand Rapids, MI 49503-2210
Phone: (616) 451-4500
Fax: (616) 451-9077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4301079486 (MI)

Record details

NPI number1487659827
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESJuly 8, 2007
Mailing address220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503-2210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1995 (31 years in practice)
Group practice Plastic Surgery Associates Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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