Reynaldo A Olaechea, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD7369 Issued in TN

Practice address

124 Hayes St
Crossville, TN 38555

Phone

(931) 787-1620

Fax

(931) 787-1622

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c4a889f-c0c4-4f50-90d1-60f6a5ad9e7d/
• FHIR API: https://fhir-myrecord.cerner.com/r4/9d9ce2ac-65e8-4488-a0f0-ba102e060a58/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cumberland Physician Group, LLC

  • Interventional Pain Medicine Physician
  • Crossville, TN
  • NPI 1225161227

  TN

  Medicare reassignment NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008
  NPD (past)
• Roane Medical Center

  • Hospitalist Physician
  • Harriman, TN
  • NPI 1104023704
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1013973874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S MAIN ST # 231",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555048",
            "telephone_number": "931-459-7012",
            "fax_number": "931-210-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HAYES ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-787-1620",
            "fax_number": "931-787-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAECHEA",
        "first_name": "REYNALDO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD7369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020038845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NP Enterprises, Inc.
• Nra-Crossville, Tennessee, LLC
• Nra-Crossville, Tennessee, LLC
• Nurseride LLC
• Erin Oconnell, FNP-C, RN
• Charles Olsen, NP
• Andrea Olson, OTR/L
• One Life Tech
• Dawn Oneal, RNFA
• Samuel Wisco Ong, M.D.

• All providers in Crossville, TN
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.