Individual provider Active NPI

Paul Reynolds, DO

  • Surgery Physician
  • Grayling, MI
National Provider Identifier
1285095166
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101026357 Issued in MI
Practice address
1010 W North Down River Rd
Grayling, MI 49738-2060
Phone
(989) 348-0800
Fax
(989) 344-5724
NPI assigned
Mar 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101026357 MI Primary

Addresses

Primary practice location

1010 W North Down River Rd
Grayling, MI 49738-2060

Mailing address

1010 W North Down River Rd
Grayling, MI 49738-2060
Phone (989) 348-0800

Other practice location 1

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

Other practice location 2

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

Other practice location 3

829 N Center Ave Ste 120
Gaylord, MI 49735-1598
Phone (989) 731-7987

Other practice location 4

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777

Other practice location 5

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7749

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PREYNOLDS2@direct.mhc.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210913002034 MI Practitioner - General Surgery 2769774918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians
Munson Healthcare Otsego Memorial HospitalGroup PAC ID 8325942535, 126 clinicians

Practice addresses (Care Compare)

1010 W N Down River Rd
Munson Healthcare Grayling Physician Networ
Grayling, MI 49738-2060
Phone (231) 876-7476

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

829 N Ctr Ave
120 MHC Omh Med. Group General Surgery
Gaylord, MI 49735-1598
Phone (989) 731-7987

Hospital & facility affiliations

  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux63
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026357MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling CurrentSince Sep 1, 2021 Accepting new patients
Munson Healthcare Grayling Surgery CurrentSince Sep 1, 2021 Accepting new patients
Kalkaska Memorial Health Center Surgery CurrentSince Sep 1, 2021 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Sep 1, 2021 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Munson Healthcare Otsego Memorial Hospital Surgery Past Accepting new patients
Kalkaska Memorial Health Center Surgery Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

829 N Center Ave
Ste 120
Gaylord, MI 49735
Phone (989) 731-7987

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

Interoperability endpoints

  • Direct secure messaging: preynolds283746@direct.hfhs.org
  • Direct secure messaging: preynolds2@direct.mhc.net

Organizations & group practices 10

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 3

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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1285095166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W NORTH DOWN RIVER RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382060",
            "telephone_number": "989-348-0800",
            "fax_number": "989-344-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W NORTH DOWN RIVER RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382060",
            "telephone_number": "989-348-0800",
            "fax_number": "989-344-5724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15855 19 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480383504",
            "country_code": "US",
            "telephone_number": "586-263-2300",
            "fax_number": "586-263-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7500",
            "fax_number": "231-258-7592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7987",
            "fax_number": "989-731-9151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "fax_number": "231-258-7786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7749",
            "fax_number": "231-258-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-18",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101026357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PREYNOLDS2@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1010 W North Down River Rd",
            "city": "Grayling",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497382060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

Verify at the official NPI Registry.