Active NPI
Marc Alan Reiskind, MD
- Physical Medicine & Rehabilitation Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME63914
- Practice address
- 4400 140TH Ave N
Suite 110
Clearwater, FL 33762-3863 - Phone
- (727) 327-2600
- Fax
- (727) 327-2644
- NPI assigned
- Dec 19, 2005
- Last updated
- Jul 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME63914 | FL | Primary |
Addresses
Primary practice location
4400 140TH Ave N
Suite 110
Clearwater, FL 33762-3863
Mailing address
PO Box 100267
Atlanta, GA 30384-0267
Phone (727) 327-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004873000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Medical College of Georgia School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4400 140TH Ave N
Suite 110
Clearwater, FL 33762-3863
Phone (727) 327-2600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinellas Physiatry Associates PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
4400 140th Ave N
Ste 110
Clearwater, FL 33762
Phone (727) 327-2600
666 6th St S
Ste 101
St Petersburg, FL 33701
Phone (727) 893-6714
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CACCAA
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Clearwater, FL
- NPI 1316098239
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayfront Health St Petersburg - Home Care
- Home Health Agency
- St Petersburg, FL
- NPI 1407816465
-
dba Bayfront Health St Petersburg
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
-
dba Bayfront Health St. Petersburg
- Rehabilitation Hospital Unit
- St Petersburg, FL
- NPI 1912975228
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1306822614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100267",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840267",
"telephone_number": "727-327-2600",
"fax_number": "727-327-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 140TH AVE N",
"address_2": "SUITE 110",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623863",
"telephone_number": "727-327-2600",
"fax_number": "727-327-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISKIND",
"first_name": "MARC",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME63914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004873000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.