Active NPI
Reena John, MD
- Pediatrics Physician
- Dyer, IN
National Provider Identifier
1124010970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01046093A
- Practice address
- 2150 Gettler St Ste 255
Dyer, IN 46311-2381 - Phone
- (219) 864-2235
- Fax
- (219) 365-1398
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01046093A | IN | Primary |
Addresses
Primary practice location
2150 Gettler St Ste 255
Dyer, IN 46311-2381
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
14785 W 101st Ave
Dyer, IN 46311-3371
Phone (219) 864-2235
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200148810 | Medicaid | IN | |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rjohn3503@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
35682 Eagle Way
Chicago, IL 60678
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
2150 Gettler St
Ste 255
Dyer, IN 46311
Phone (219) 864-2235
14785 W 101st Ave
Dyer, IN 46311
Phone (219) 228-4200
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
2068 Lucas Pkwy
Lowell, IN 46356
Phone (219) 690-7025
10860 Maple Ln
Saint John, IN 46373
Phone (219) 365-7000
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- rjohn3503@direct.franciscanalliance.org
Organizations & group practices 16
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1366879009
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Family Medicine Physician
- Saint John, IN
- NPI 1659448314
-
- Family Medicine Physician
- Dyer, IN
- NPI 1972682581
-
- Family Medicine Physician
- Schererville, IN
- NPI 1720157779
-
- Pediatrics Physician
- Dyer, IN
- NPI 1962572354
-
- Obstetrics & Gynecology Physician
- Hammond, IN
- NPI 1073685970
-
- Pediatrics Physician
- Munster, IN
- NPI 1639258114
-
- Family Medicine Physician
- Griffith, IN
- NPI 1689746000
-
- Surgery Physician
- Dyer, IN
- NPI 1801968706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1124010970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 GETTLER ST STE 255",
"city": "DYER",
"state": "IN",
"postal_code": "463112381",
"telephone_number": "219-864-2235",
"fax_number": "219-365-1398"
}
],
"practiceLocations": [
{
"address_1": "14785 W 101st Ave",
"address_purpose": "LOCATION",
"city": "Dyer",
"state": "IN",
"postal_code": "463113371",
"country_code": "US",
"telephone_number": "219-864-2235",
"fax_number": "219-365-1398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "REENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01046093A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200148810",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0090000854",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rjohn3503@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2150 Gettler St Ste 255",
"city": "Dyer",
"state": "IN",
"country_code": "US",
"postal_code": "463112381",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.