Individual provider Active NPI

Scott Reule, M.D.

  • Internal Medicine Physician
  • Woodbury, MN
National Provider Identifier
1326231341
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53162 Issued in MN
Practice address
2525 Cobble Hill CT Unit J
Woodbury, MN 55125-4036
Phone
(612) 273-0000
NPI assigned
Aug 22, 2007
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53162 MN Primary

Addresses

Primary practice location

2525 Cobble Hill CT Unit J
Woodbury, MN 55125-4036

Mailing address

2525 Cobble Hill CT Unit J
Woodbury, MN 55125-4036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20170501001092 MN Order and Referring Only - NephrologyPractitioner - Nephrology 7113109042

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1326231341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COBBLE HILL CT UNIT J",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COBBLE HILL CT UNIT J",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254036",
            "telephone_number": "612-273-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REULE",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "53162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.