Active NPI
Max Goder-Reiser, MD
- Emergency Medicine Physician
- Whiteriver, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 78418
- Practice address
- 200 W Hospital Dr
Whiteriver, AZ 85941 - Phone
- (928) 338-3730
- NPI assigned
- Apr 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 78418 | MN | Primary |
Addresses
Primary practice location
200 W Hospital Dr
Whiteriver, AZ 85941
Mailing address
200 W Hospital Dr
Whiteriver, AZ 85941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250325001856 | MN | Practitioner - Emergency Medicine | 6800276270 | Reassigns benefits to 2 organizations |
| I20251121001848 | TX | Practitioner - Emergency Medicine | 6800276270 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Boston University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHHS IHS Phoenix AreaRange Regional Health Services
Practice addresses (Care Compare)
200 W Hospital Dr
860 Whiteriver Indian
Whiteriver, AZ 85941-0860
Phone 92833849113532
750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881
Hospital & facility affiliations
- Whiteriver PHS Indian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78418 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients |
Locations
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
Interoperability endpoints
- mgoderreiser779313@fairview.direct-ci.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
-
- Community Based Hospice Care Agency
- Hibbing, MN
- NPI 1427036169
-
- Home Health Agency
- Hibbing, MN
- NPI 1992782239
-
- Clinic/Center
- Cibecue, AZ
- NPI 1427335181
-
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1225441157
-
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
Hospital & facility affiliations 2
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": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1336720986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W HOSPITAL DR",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W HOSPITAL DR",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941",
"telephone_number": "928-338-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODER-REISER",
"first_name": "MAX",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "78418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteriver, AZ
- Carol Darlene Gilbreath-Key
- Ryan Gildow, PHARMD
- Vanessa Renee Giocondo, MS, RD, CD
- Elizabeth Angela Degiglio Girard, PHARMACIST
- Katherine Susan Gissonne, RT
- John Phillip Gonzales, D.D.S.
- Lois Louise Goode, MS, PT, OCS, ATC
- Carole Grant, RD,LD,CNSC
- Amy Faith Gregg, PHARMD
- Bryan Russell Gunter Jr., PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.