Active NPI
Evelyn Alicia Reynolds, M.D.
- Gynecologic Oncology Physician
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 50116
- Practice address
- 200 1St St SW
Rochester, MN 55905-0002 - Phone
- (507) 284-2511
- NPI assigned
- Jul 7, 2006
- Last updated
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 056217 | GA | |
| Gynecologic Oncology Physician | 207VX0201X | 50116 | MN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0002
Mailing address
200 1St St SW
Rochester, MN 55905-0002
Phone (507) 284-2511
Other practice location 1
1136 Cleveland Avenue
Suite 621
East Point, GA 30344-3608
Phone (404) 466-6621
Other practice location 2
2500 Hospital Blvd Ste 410
Roswell, GA 30076
Phone (770) 792-6262
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ereynolds494203@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Rochester School of Medicine and Dentistry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Removal of the uterus | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056217 | GA | MD | Gynecologic Oncology Physician |
| 50116 | MN | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current | Accepting new patients | |
| Morehouse Healthcare, Inc. | Gynecologic Oncology | Current | Accepting new patients |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Locations
75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Interoperability endpoints
- ereynolds125258@directwellstar.org
- ereynolds494203@ehrdirect.mayoclinicmsg.org
- evelyn.reynolds.p207@direct.tenet.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1801832324
Gynecologic Oncology
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Air Ambulance
- Rochester, MN
- NPI 1821326570
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1265465140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050002",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050002",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [
{
"address_1": "1136 Cleveland Avenue",
"address_2": "Suite 621",
"address_purpose": "LOCATION",
"city": "East Point",
"state": "GA",
"postal_code": "303443608",
"country_code": "US",
"telephone_number": "404-466-6621",
"fax_number": "404-466-7221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Hospital Blvd Ste 410",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "30076",
"country_code": "US",
"telephone_number": "770-792-6262",
"fax_number": "678-566-7803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "EVELYN",
"middle_name": "ALICIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "GA",
"license": "056217",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MN",
"license": "50116",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ereynolds494203@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "200 1st St SW",
"city": "Rochester",
"state": "MN",
"country_code": "US",
"postal_code": "559050002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.