NPIMap

Individual provider Active NPI

Lance David Reynolds, MD

  • Internal Medicine Physician
  • Westfield, MA
National Provider Identifier
1215989876
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210369 Issued in MA
Practice address
75 Springfield Rd
Suite 1
Westfield, MA 01085-1832
Phone
(413) 562-5173
Fax
(413) 562-1716
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210369 MA Primary

Addresses

Primary practice location

75 Springfield Rd
Suite 1
Westfield, MA 01085-1832

Mailing address

75 Springfield Rd
Suite 1
Westfield, MA 01085-1832
Phone (413) 562-5173

Other identifiers 1

IdentifierTypeStateIssuer
0175391MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001035 MA Practitioner - Internal Medicine 8527049758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine AssociatesGroup PAC ID 1850372079, 3 clinicians

Practice addresses (Care Compare)

75 Springfield Rd
Suite 1
Westfield, MA 01085-1832
Phone 4135625173106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210369MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates CurrentSince Jul 1, 2002 Accepting new patients

Locations

75 Springfield Rd
Ste 1
Westfield, MA 01085
Phone (413) 562-5173

Interoperability endpoints

  • Direct secure messaging: lance.reynolds@fma-ma.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/734/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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 11

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1215989876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851832",
            "telephone_number": "413-562-5173",
            "fax_number": "413-562-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851832",
            "telephone_number": "413-562-5173",
            "fax_number": "413-562-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LANCE",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "210369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175391",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.