Individual provider Active NPI

Michael Thomas Reynolds, PA-C

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1225832405
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1019 Linn St
Cincinnati, OH 45203-1314
Phone
(513) 233-7100
Fax
(513) 818-8637
NPI assigned
Apr 4, 2025
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1019 Linn St
Cincinnati, OH 45203-1314

Mailing address

1019 Linn St
Cincinnati, OH 45203-1314
Phone (443) 942-1784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507003091 OH Practitioner - Physician Assistant 3375060916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1740 Langdon Farm Rd
Cincinnati, OH 45237-1157
Phone (513) 631-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winton Hills Medical & Health Center CurrentSince May 1, 2025 Accepting new patients
Winton Hills Medical & Health Center CurrentSince May 1, 2025 Accepting new patients
Winton Hills Medical & Health Center Past Accepting new patients
Winton Hills Medical & Health Center Past Accepting new patients
Winton Hills Medical & Health Center Past Accepting new patients
Winton Hills Medical & Health Center Past Accepting new patients
Winton Hills Medical & Health Center Past Accepting new patients

Locations

1019 Linn St
Cincinnati, OH 45203
Phone (513) 233-7100

1510 California Ave
Cincinnati, OH 45237
Phone (513) 242-1033

1740 Langdon Farm Rd
Cincinnati, OH 45237
Phone (513) 242-1033

5275 Winneste Ave
Cincinnati, OH 45232
Phone (513) 242-1033

5300 Winneste Ave
Cincinnati, OH 45232
Phone (513) 242-1033

7005 Reading Rd
Cincinnati, OH 45237
Phone (513) 242-1033

4515 Tower Ave
Saint Bernard, OH 45217
Phone (513) 242-1033

4615 Tower Ave
Saint Bernard, OH 45217
Phone (513) 242-1033

Interoperability endpoints

  • Direct secure messaging: michael.reynolds.1@23272.direct.athenahealth.com

Organizations & group practices 7

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": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1225832405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 LINN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031314",
            "telephone_number": "443-942-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 LINN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031314",
            "telephone_number": "513-233-7100",
            "fax_number": "513-818-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.