Ejerzain Aniles- Renova
NPI 1053873109ActiveIndividual· Physician Assistant· Phoenix, AZ
Physician Assistant with Mayo Clinic Arizona, practicing in Phoenix, Arizona. Their prescriptions cost Medicare Part D more than their services did: $139,022 for 338 claims, against $4,262 paid for services in 2024. Lists Mayo Clinic Hospital as a hospital affiliation.
Overview
| NPI | 1053873109 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 5, 2019 |
| Last updated in NPPES | Oct 20, 2020 |
| Certified by provider | Oct 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 7602 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 70 across 7 procedure codes |
| Paid by Medicare | $4,262 |
Part D prescriptions in 2024
| Prescriptions (claims) | 338 · 683 30-day fills |
|---|---|
| Patients | 106 |
| Total drug cost | $139,022 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mayo Clinic ArizonaScottsdale, AZ · 1,626 clinicians
Hospital affiliation
- Mayo Clinic HospitalPhoenix, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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