Active NPI
Steven Reiner, D.P.M.
- Podiatrist
- Port Townsend, WA
National Provider Identifier
1083636393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00183200
- Practice address
- 204 Gaines St
Port Townsend, WA 98368-6902 - Phone
- (360) 385-6486
- Fax
- (360) 379-4996
- NPI assigned
- Jul 24, 2006
- Last updated
- Jan 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00183200 | NJ | Primary |
Addresses
Primary practice location
204 Gaines St
Port Townsend, WA 98368-6902
Mailing address
204 Gaines St
Port Townsend, WA 98368-6902
Phone (360) 385-6486
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JP039 | Other | NJ | OXFORD |
| 480020688 | Other | NJ | RAIL ROAD MEDICARE |
| 694258 | Other | NJ | CIGNA |
| 1006148 | Other | NJ | HORIZON NJ HEALTH |
| 0073540000 | Other | NJ | AMERIHEALTH |
| 23332 | Other | NJ | AMERIGROUP |
| F11578 | Other | NJ | HEALTH NET |
| J40585 | Other | NJ | AMERIHEALTH ADMINISTRADOR |
| 0380903 | Medicaid | NJ | |
| 098994900 | Other | NJ | INDEPENDENCE BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110117000067 | WA | Practitioner - Podiatry | 6002843943 | Practice locations: Port Townsend, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
204 Gaines St
Port Townsend, WA 98368-6902
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 667 |
| Removal or shaving of skin growth | 83 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Townsend Foot and Ankle Clinic PS | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot Surgery Podiatrist
- Port Townsend, WA
- NPI 1982745600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1083636393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 GAINES ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686902",
"telephone_number": "360-385-6486",
"fax_number": "360-379-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 GAINES ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686902",
"telephone_number": "360-385-6486",
"fax_number": "360-379-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINER",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00183200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "JP039",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "480020688",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "694258",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1006148",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0073540000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "23332",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "F11578",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRADOR",
"identifier": "J40585",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0380903",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BC",
"identifier": "098994900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.