NPIMap

Individual provider Active NPI

Frederick Dieter Reynolds, M.D.

  • Surgery Physician
  • Saratoga Springs, NY
National Provider Identifier
1164442711
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
232317 Issued in NY
Practice address
1 West Ave
Suite 125
Saratoga Springs, NY 12866-6045
Phone
(518) 693-4418
Fax
(518) 693-4481
NPI assigned
Jul 19, 2006
Last updated
Jun 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 232317 NY Primary

Addresses

Primary practice location

1 West Ave
Suite 125
Saratoga Springs, NY 12866-6045

Mailing address

1 West Ave
Suite 125
Saratoga Springs, NY 12866-6045
Phone (518) 693-4418

Other identifiers 1

IdentifierTypeStateIssuer
02638411MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000597 NY Practitioner - General Surgery 2466493747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)34
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232317NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Dec 19, 2012 Accepting new patients
Saratoga Hospital CurrentSince Dec 19, 2012 Accepting new patients
Saratoga Hospital Past Accepting new patients
Saratoga Surgical Specialists, PC Past Accepting new patients

Locations

6 Medical Park Dr
Ste 200
Malta, NY 12020
Phone (518) 289-2717

1 West Ave
Ste 125
Saratoga Springs, NY 12866
Phone (518) 693-4418

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

381 Church St
Saratoga Springs, NY 12866
Phone (518) 581-1100

Interoperability endpoints

  • Direct secure messaging: freynolds101341@albanymed.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1164442711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST AVE",
            "address_2": "SUITE 125",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666045",
            "telephone_number": "518-693-4418",
            "fax_number": "518-693-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST AVE",
            "address_2": "SUITE 125",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666045",
            "telephone_number": "518-693-4418",
            "fax_number": "518-693-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "FREDERICK",
        "middle_name": "DIETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "232317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.