Active NPI
David W Reem, MD
- Internal Medicine Physician
- Macomb, IL
National Provider Identifier
1336124668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-049838
- Practice address
- 515 E Grant St
Suite 111
Macomb, IL 61455-3315 - Phone
- (309) 837-9926
- Fax
- (309) 833-1417
- NPI assigned
- Dec 9, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-049838 | IL | Primary |
Addresses
Primary practice location
515 E Grant St
Suite 111
Macomb, IL 61455-3315
Mailing address
515 E Grant St
Suite 111
Macomb, IL 61455-3315
Phone (309) 837-9926
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05532012 | Other | IL | BCBS OF IL |
| 0360498351 | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-049838 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients |
Locations
525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611
515 E Grant St
Ste 112
Macomb, IL 61455
Phone (309) 833-4104
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Macomb, IL
- NPI 1013048982
-
- Anatomic Pathology & Clinical Pathology Physician
- Macomb, IL
- NPI 1396055869
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1669420766
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1790934735
-
- Certified Registered Nurse Anesthetist
- Macomb, IL
- NPI 1871704874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1336124668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E GRANT ST",
"address_2": "SUITE 111",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553315",
"telephone_number": "309-837-9926",
"fax_number": "309-833-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E GRANT ST",
"address_2": "SUITE 111",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553315",
"telephone_number": "309-837-9926",
"fax_number": "309-833-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEM",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-049838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "05532012",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360498351",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.