Individual provider Active NPI

Steven Mark Reinecke, M.D.

  • Ophthalmology Physician
  • Desoto, TX
National Provider Identifier
1235495391
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R5926 Issued in TX
Practice address
2625 Bolton Boone Dr
Desoto, TX 75115-2011
Phone
(972) 283-1516
Fax
(972) 283-1448
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X R5926 TX
Ophthalmology Physician 207W00000X R5926 TX Primary

Addresses

Primary practice location

2625 Bolton Boone Dr
Desoto, TX 75115-2011

Mailing address

2625 Bolton Boone Dr
Desoto, TX 75115-2011
Phone (469) 383-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180827000066 TX Practitioner - Ophthalmology 7315239381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert E. Torti, MD, PAGroup PAC ID 8325113731, 5 clinicians

Practice addresses (Care Compare)

1011 N Hwy 77
Suite 103a
Waxahachie, TX 75165-1797
Phone (469) 383-3368

10740 N Central Expy
Dallas, TX 75231-2162

1706 Preston Park Blvd
Plano, TX 75093-5302
Phone (972) 599-9098

2625 Bolton Boone Dr
Desoto, TX 75115-2011
Phone (972) 283-1516

7992 W Virginia Dr
Dallas, TX 75237-3764
Phone (972) 283-2400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5926TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Torti, MD, PA Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
North Dallas Retina, PA Ophthalmology Past Accepting new patients

Locations

10740 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 361-6700

2625 Bolton Boone Dr
Desoto, TX 75115
Phone (972) 283-1516

18640 Lyndon B Johnson Fwy
Ste 101
Mesquite, TX 75150
Phone (214) 393-5880

1706 Preston Park Blvd
Plano, TX 75093
Phone (972) 599-9098

1011 N Highway 77
Ste 103A
Waxahachie, TX 75165
Phone (469) 383-3368

Interoperability endpoints

  • Direct secure messaging: sreinencke@rstx.intellechartdirect.net

Organizations & group practices 2

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1235495391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BOLTON BOONE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152011",
            "telephone_number": "469-383-3368",
            "fax_number": "972-283-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BOLTON BOONE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152011",
            "telephone_number": "972-283-1516",
            "fax_number": "972-283-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2023-09-26",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "R5926",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R5926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.