Individual provider Active NPI

Thomas Henry Reif, M.D.

  • Specialist
  • Rockledge, FL
National Provider Identifier
1174678494
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME45904 Issued in FL
Practice address
110 Longwood Ave
Rockledge, FL 32955-2828
Phone
(321) 636-2211
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME45904 FL Primary

Addresses

Primary practice location

110 Longwood Ave
Rockledge, FL 32955-2828

Mailing address

PO Box 410228
Melbourne, FL 32941-0228
Phone (352) 213-3359

Other identifiers 1

IdentifierTypeStateIssuer
270600800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20150714001528 NM Practitioner - Internal Medicine 0547220881 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME45904FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New Mexico-TCG LLC CurrentSince Oct 2, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Dec 17, 2018 Accepting new patients
Krossroads Integrative Health and Recovery Solutions Inc CurrentSince Jan 14, 2025 Accepting new patients
Hospital Internal Medicine PA Specialist Past Accepting new patients

Locations

400 Gold Ave SW
Ste 1300E
Albuquerque, NM 87102

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

721 5th St
Las Vegas, NM 87701
Phone (505) 425-1533

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: treif160@yourcarecommunity.org

Organizations & group practices 4

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1174678494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410228",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329410228",
            "telephone_number": "352-213-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552828",
            "telephone_number": "321-636-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIF",
        "first_name": "THOMAS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME45904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270600800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.