Individual provider Active NPI

Jacob Paul Reinhart, M.D.

  • MOHS-Micrographic Surgery Physician
  • Castle Rock, CO
National Provider Identifier
1184011744
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
DR.0074642 Issued in CO
Practice address
4350 Limelight Ave # 205
Castle Rock, CO 80109-8034
Phone
(720) 686-7546
NPI assigned
Apr 22, 2015
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 67857 MN
MOHS-Micrographic Surgery Physician 207ND0101X 67857 MN
MOHS-Micrographic Surgery Physician 207ND0101X DR.0074642 CO Primary
Military Health Care Provider 171000000X 0101261323 VA

Addresses

Primary practice location

4350 Limelight Ave # 205
Castle Rock, CO 80109-8034

Mailing address

1575 Oak Hills Dr
Colorado Springs, CO 80919-1417
Phone (651) 253-2167

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210622001464 MN Practitioner - Micrographic Dermatologic Surgery (MDS) 6305247826 Reassigns benefits to 1 organization
I20250618004222 CO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6305247826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Eastern Virginia Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Dermatology PLLCGroup PAC ID 4789942525, 12 clinicians

Practice addresses (Care Compare)

1975 Research Pkwy
Suite 165
Colorado Springs, CO 80920-1026
Phone (719) 574-0310

4350 Limelight Ave
Suite 205
Castle Rock, CO 80109-8034
Phone (720) 686-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions105
Removal of skin cancer82
Skin biopsy45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101261323VAMDMilitary Health Care Provider
DR.0074642COMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Jul 1, 2021 Accepting new patients
Clarity Dermatology PLLC Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Skin Cancer and Dermatology Center of Colorado Springs, P.C. Dermatology Current Accepting new patients
Skin Cancer and Dermatology Center of Colorado Springs, P.C. Dermatology CurrentSince Oct 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2021 Accepting new patients
Skin Cancer and Dermatology Center of Colorado Springs, P.C. Dermatology Past Accepting new patients

Locations

4440 Arapahoe Ave
Ste 200
Boulder, CO 80303
Phone (303) 652-9222

4350 Limelight Ave
Castle Rock, CO 80109
Phone (720) 455-3775

4350 Limelight Ave
Unit 205
Castle Rock, CO 80109
Phone (303) 799-7903

1975 Research Pkwy
Ste 165
Colorado Springs, CO 80920
Phone (719) 574-0310

145 Inverness Dr E
Ste 250
Englewood, CO 80112
Phone (720) 686-7546

2720 Council Tree Ave
Ste 230
Fort Collins, CO 80525
Phone (303) 652-9222

9397 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 750-1022

509 W 17th St
Pueblo, CO 81003
Phone (719) 543-2211

328 S Bonaventure Ave
Ste 2
Trinidad, CO 81082
Phone (719) 574-0310

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1184011744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 OAK HILLS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191417",
            "telephone_number": "651-253-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 LIMELIGHT AVE # 205",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098034",
            "telephone_number": "720-686-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINHART",
        "first_name": "JACOB",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "67857",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MN",
            "license": "67857",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR.0074642",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101261323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.