Individual provider Active NPI

Linda A Reinhardt, M.D.

  • Dermatology Physician
  • Wichita Falls, TX
National Provider Identifier
1104928399
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F1930 Issued in TX
Practice address
2601 Harrison St
Ste 500
Wichita Falls, TX 76308-1360
Phone
(940) 322-9606
Fax
(940) 322-9241
NPI assigned
Sep 1, 2006
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X F1930 TX Primary

Addresses

Primary practice location

2601 Harrison St
Ste 500
Wichita Falls, TX 76308-1360

Mailing address

2601 Harrison St
Suite 500
Wichita Falls, TX 76308-1360
Phone (940) 763-1200

Other identifiers 1

IdentifierTypeStateIssuer
140820501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120320000581 TX Practitioner - Dermatology 3173783750 Practice locations: Wichita Falls, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpesh D. Desai, D.O. P.a. 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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1104928399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HARRISON ST",
            "address_2": "SUITE 500",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081360",
            "telephone_number": "940-763-1200",
            "fax_number": "940-763-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HARRISON ST",
            "address_2": "STE 500",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081360",
            "telephone_number": "940-322-9606",
            "fax_number": "940-322-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F1930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140820501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.