James Michael Reidy, D.O.

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

4012 Issued in AZ

Practice address

2680 S Val Vista Dr
BLDG 13, Unit 175
Gilbert, AZ 85295-2152

Phone

(480) 784-0110

Fax

(480) 784-0220

NPI assigned

Jun 29, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Otolaryngology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Desert Valley ENT, PC

  • Otolaryngology Physician
  • Gilbert, AZ
  • NPI 1184713430
  Medicare reassignment NPD Authorized official

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

• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1174551014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "BLDG 13, UNIT 175",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952152",
            "telephone_number": "480-784-0110",
            "fax_number": "480-784-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "BLDG 13, UNIT 175",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952152",
            "telephone_number": "480-784-0110",
            "fax_number": "480-784-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "AZ",
            "license": "4012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AZ",
            "identifier": "AZ0762840",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876617",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reflections Hospice of Arizona North
• Regenesis Healthcare, Inc
• Kalie Reginato
• Rebekah Regnell
• Rehoboth Homes LLC
• Katelyn Rae Reilly, DMD
• Mitchell Cameron Reisler, LPC
• Kelly Reiss
• Shyla Reither
• Jennifer Nicole Reitz, MD

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.