Individual provider Active NPI

Theodore Feld Reiss, MD

  • Pulmonary Disease Physician
  • Nashville, TN
National Provider Identifier
1326312091
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
48119 Issued in TN
Practice address
1161 21St Ave South T-1218 Medical Center North
Vanderbilt University School of Medicine
Nashville, TN 37232-2650
Phone
(615) 322-3773
Fax
(615) 343-7448
NPI assigned
Feb 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 48119 TN Primary

Addresses

Primary practice location

1161 21St Ave South T-1218 Medical Center North
Vanderbilt University School of Medicine
Nashville, TN 37232-2650

Mailing address

1161 21St Ave South T-1218 Medical Center North
Vanderbilt University School of Medicine
Nashville, TN 37232-2650
Phone (615) 322-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48119TNMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1326312091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE SOUTH T-1218 MEDICAL CENTER NORTH",
            "address_2": "VANDERBILT UNIVERSITY SCHOOL OF MEDICINE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322650",
            "telephone_number": "615-322-3773",
            "fax_number": "615-343-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE SOUTH T-1218 MEDICAL CENTER NORTH",
            "address_2": "VANDERBILT UNIVERSITY SCHOOL OF MEDICINE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322650",
            "telephone_number": "615-322-3773",
            "fax_number": "615-343-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "THEODORE",
        "middle_name": "FELD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "48119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.