Daniel Reznicek, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD60634618 Issued in WA

Practice address

4545 Cordata Pkwy
Suite 1a
Bellingham, WA 98226-7263

Phone

(360) 733-7687

NPI assigned

Jun 15, 2011

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

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Urology

Education

Creighton University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacific Northwest Urology Specialists PLLCGroup PAC ID 6103137096, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
• Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329
• Peacehealth Peace Island Medical Center Hospital, Friday Harbor, WA, CCN 501340

Merit-based Incentive Payment System (MIPS)

Final score

93.18 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.26

Merit-based Incentive Payment System (MIPS)

Final score

73 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

10

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pacific Northwest Urology Specialists, PLLC

  • Urology Physician
  • Bellingham, WA
  • NPI 1023400041
  Medicare reassignment Care Compare group NPD
• Pacific Northwest Urology Specialists, PLLC

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
  • NPI 1952852873
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Peacehealth

  • Critical Access Hospital
  • Sedro Woolley, WA
  • NPI 1144664954
  Care Compare affiliation
• Peacehealth

  • Rural Acute Care Hospital
  • Bellingham, WA
  • NPI 1487904546
  Care Compare affiliation
• Peacehealth

  • Critical Access Hospital
  • Friday Harbor, WA
  • NPI 1487917233
  Care Compare affiliation
• Peacehealth

  • General Acute Care Hospital
  • Bellingham, WA
  • NPI 1689677320
  Care Compare affiliation
• St Joseph Hospital

  • Clinical Medical Laboratory
  • Bellingham, WA
  • NPI 1013137173

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1134414477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251932",
            "telephone_number": "360-733-7687",
            "fax_number": "360-734-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CORDATA PKWY",
            "address_2": "SUITE 1A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267263",
            "telephone_number": "360-733-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNICEK",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD60634618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff David Reynolds Sr.
• Jessica Renea Reynolds
• Monika Elizabeth Reynolds, MSN, FNP
• Sandra Ann Reynolds, RPH
• Stacy Reynolds
• Roman Reznik, MD
• Jessica Hailey Rhea
• Kyle Joseph Rhea, SUDPT
• Mieka Michelle Rhoades, CDPT
• Melody G. Rhode, PH.D

• Urology Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.

Verify at the official NPI Registry.