Individual provider Active NPI

Jay Reinsma, M.D.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1164429478
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25685 Issued in CO
Practice address
300 S Jackson St
Suite 340
Denver, CO 80209-3176
Phone
(303) 316-0416
Fax
(303) 316-0421
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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 25685 CO Primary

Addresses

Primary practice location

300 S Jackson St
Suite 340
Denver, CO 80209-3176

Mailing address

300 S Jackson St
Suite 340
Denver, CO 80209-3176
Phone (303) 316-0416

Other identifiers 2

IdentifierTypeStateIssuer
P00373719OtherMEDICARE RAILROAD
01256858MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20061219000049 CO Practitioner - Family Practice 1355236456 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25685COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince May 1, 2017 Accepting new patients
American Current Care PA CurrentSince May 1, 2017 Accepting new patients

Locations

10355 E Iliff Ave
Aurora, CO 80247
Phone (303) 755-4955

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1164429478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST",
            "address_2": "SUITE 340",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093176",
            "telephone_number": "303-316-0416",
            "fax_number": "303-316-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST",
            "address_2": "SUITE 340",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093176",
            "telephone_number": "303-316-0416",
            "fax_number": "303-316-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINSMA",
        "first_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "25685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00373719",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01256858",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.