Individual provider Active NPI

John Robert Reineck, M.D.

  • Orthopaedic Surgery Physician
  • Traverse City, MI
National Provider Identifier
1205995057
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301092445 Issued in MI
Practice address
4045 W Royal Dr
Traverse City, MI 49684-8965
Phone
(231) 935-0900
Fax
(231) 935-0308
NPI assigned
Dec 7, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301092445 MI Primary

Addresses

Primary practice location

4045 W Royal Dr
Traverse City, MI 49684-8965

Mailing address

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0900

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Other practice location 2

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address 0566.0001@direct.gloc.nextgenshare.com
Direct Messaging Address jreineck@direct.mhc.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080715000758 MI Practitioner - Orthopedic Surgery 2961575584 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rush Medical College of Rush University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians
Great Lakes Orthopaedic Center PCGroup PAC ID 1759371826, 36 clinicians

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

1622 Dickerson Rd
Gaylord, MI 49735-9206

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center CurrentSince Nov 1, 2021 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 1, 2017 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Nov 1, 2021 Accepting new patients
Orthopaedic Associates of Muskegon, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
Munson Healthcare Grayling Orthopaedic Surgery Current Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Great Lakes Orthopaedic Center, P.C. Orthopaedic Surgery Current Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 1, 2017 Accepting new patients
Munson Medical Center CurrentSince Jun 18, 2021 Accepting new patients
Great Lakes Orthopaedic Center, P.C. Orthopaedic Surgery CurrentSince Aug 1, 2008 Accepting new patients
Orthopaedic Associates of Muskegon, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
Munson Medical Center CurrentSince Jun 18, 2021 Accepting new patients
Munson Healthcare Grayling Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3781 Momentum Pl
Chicago, IL 60689

1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

234 Lake St
Roscommon, MI 48653
Phone (517) 275-1200

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228

401 Munson Ave
Traverse City, MI 49686
Phone (231) 933-3283

4045 W Royal Dr
Traverse City, MI 49684
Phone (231) 935-0900

Interoperability endpoints

  • Direct secure messaging: 0566.0001@direct.gloc.nextgenshare.com
  • Direct secure messaging: john.reineck.1@27291.direct.athenahealth.com
  • Direct secure messaging: jreineck@direct.mhc.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1205995057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0900",
            "fax_number": "231-935-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0900",
            "fax_number": "231-935-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "fax_number": "231-258-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINECK",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301092445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0566.0001@direct.gloc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4045 W Royal Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496848965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jreineck@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1010 W North Down River Rd",
            "city": "Grayling",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497382060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.