Individual provider Active NPI

Rebecca M Reim, MD

  • Family Medicine Physician
  • Reedsburg, WI
National Provider Identifier
1043211766
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46302 Issued in WI
Practice address
226 N Pine St
Reedsburg, WI 53959-1655
Phone
(608) 768-6767
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46302 WI Primary

Addresses

Primary practice location

226 N Pine St
Reedsburg, WI 53959-1655

Mailing address

226 N Pine St
Reedsburg, WI 53959-1655
Phone (608) 768-6767

Other identifiers 4

IdentifierTypeStateIssuer
34639800MedicaidWI
P00263226OtherWIRAILROAD MEDICARE
1629107MedicaidAK
528513OtherWIUGS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20050620000605 WI Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2668416744 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46302WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Family Medicine Current Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Mar 1, 2023 Accepting new patients
Sauk Prairie Healthcare, Inc. Family Medicine CurrentSince Mar 13, 2023 Accepting new patients
Watertown Physician Practices LLC CurrentSince Oct 8, 2015 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 2, 2022 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Sauk Prairie Healthcare Inc CurrentSince Mar 13, 2023 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine Current Accepting new patients
Watertown Physician Practices LLC Family Medicine Current Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

250 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2431

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043211766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N PINE ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591655",
            "telephone_number": "608-768-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N PINE ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591655",
            "telephone_number": "608-768-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIM",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "46302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34639800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00263226",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629107",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UGS MEDICARE",
            "identifier": "528513",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.