Individual provider Active NPI

Alyssa Nicole Reitsma, MD

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1205416898
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Practice address
148 E 38TH St
New York, NY 10016-2607
Phone
(844) 359-8363
Fax
(833) 955-3592
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X CT
Medical Specialty Clinic/Center 261QM2500X NJ
Medical Specialty Clinic/Center 261QM2500X NY Primary

Addresses

Primary practice location

148 E 38TH St
New York, NY 10016-2607

Mailing address

120 NW 62ND St Apt 1102
Gainesville, FL 32607-0108
Phone (248) 633-6872

Other practice location 1

93 Cherry St Unit G1
New Canaan, CT 06840-5521
Phone (844) 359-8363

Other practice location 2

500 W Main St Ste 16
Wyckoff, NJ 07481-1406
Phone (844) 359-8363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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
I20240716000132 MI Practitioner - Family Practice 2860800869 Reassigns benefits to 1 organization
I20250922002285 OH Practitioner - Family Practice 2860800869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oakland Univ, William Beaumont School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orion Family Physicians PC Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Jul 12, 2025 Accepting new patients
The Metrohealth System Family Medicine CurrentSince Jul 12, 2025 Accepting new patients

Locations

1455 S Lapeer Rd
Ste 100
Lake Orion, MI 48360
Phone (248) 693-3551

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: areitsma311955@direct.metrohealth.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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1205416898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NW 62ND ST APT 1102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326070108",
            "telephone_number": "248-633-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162607",
            "telephone_number": "844-359-8363",
            "fax_number": "833-955-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Cherry St Unit G1",
            "address_purpose": "LOCATION",
            "city": "New Canaan",
            "state": "CT",
            "postal_code": "068405521",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Main St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074811406",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITSMA",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.