Individual provider Active NPI

Gary F. Reichard, M.D.

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1235195017
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60404371 Issued in WA
Practice address
1202 Martin Luther King Jr Way
Community Health Care
Tacoma, WA 98405-3926
Phone
(253) 441-4742
Fax
(253) 597-4556
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31705 AZ
Family Medicine Physician 207Q00000X MD60404371 WA Primary

Addresses

Primary practice location

1202 Martin Luther King Jr Way
Community Health Care
Tacoma, WA 98405-3926

Mailing address

1019 Pacific Avenue #300
Community Health Care
Tacoma, WA 98402
Phone (253) 722-1540

Other identifiers 1

IdentifierTypeStateIssuer
793738MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20141117001426 WA Practitioner - Family Practice 1658349857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health CareGroup PAC ID 1850201559, 72 clinicians

Practice addresses (Care Compare)

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742

134 188TH St S
Spanaway, WA 98387-4618
Phone (253) 847-2304

1708 E 44TH St
Tacoma, WA 98404-4611
Phone (253) 471-4553

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31705AZMDFamily Medicine Physician
MD60404371WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care CurrentSince Sep 1, 2014 Accepting new patients
Community Health Care CurrentSince Sep 1, 2014 Accepting new patients
Community Health Care Past Accepting new patients
Community Health Care Past Accepting new patients

Locations

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

10510 Gravelly Lake Dr SW
Tacoma, WA 98499
Phone (253) 589-7030

11225 Pacific Ave S
Tacoma, WA 98444
Phone (253) 536-2020

1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742

1708 E 44th St
Tacoma, WA 98404
Phone (253) 471-4553

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742

Interoperability endpoints

  • Direct secure messaging: gary.reichardmd.p1@direct.chc-tacoma.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1235195017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PACIFIC AVENUE #300",
            "address_2": "COMMUNITY HEALTH CARE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98402",
            "telephone_number": "253-722-1540",
            "fax_number": "253-597-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MARTIN LUTHER KING JR WAY",
            "address_2": "COMMUNITY HEALTH CARE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053926",
            "telephone_number": "253-441-4742",
            "fax_number": "253-597-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHARD",
        "first_name": "GARY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "31705",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60404371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793738",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.