NPIMap

Individual provider Active NPI

Russell Reinbolt, M.D.

  • Emergency Medicine Physician
  • Albany, OR
National Provider Identifier
1366410367
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD212329 Issued in OR
Practice address
1046 6TH Ave SW
Albany, OR 97321-1916
Phone
(541) 812-4000
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD212329 OR Primary
Emergency Medicine Physician 207P00000X A75040 CA

Addresses

Primary practice location

1046 6TH Ave SW
Albany, OR 97321-1916

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other identifiers 1

IdentifierTypeStateIssuer
00A750400MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rreinboltagency275966@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID, OR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060317000556 CA Practitioner - Emergency Medicine 0648287557 Reassigns benefits to 3 organizations
I20180523001952 ID Practitioner - Emergency Medicine 0648287557 Reassigns benefits to 5 organizations
I20221003002660 OR Practitioner - Emergency Medicine 0648287557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syringa General Hospital District C I FGroup PAC ID 6800707530, 19 clinicians

Practice addresses (Care Compare)

607 W Main St
Grangeville, ID 83530-1345
Phone (208) 983-1700

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Chapman Global Medical Center Hospital, Orange, CA, CCN 050745
  • Syringa General Hospital Hospital, Grangeville, ID, CCN 131315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD212329ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoshone Medical Center CurrentSince Feb 27, 2024 Accepting new patients
Eisenhower Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Feb 15, 2025 Accepting new patients
Eisenhower Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Albany General Hospital CurrentSince Oct 12, 2023 Accepting new patients
Albany General Hospital CurrentSince Oct 12, 2023 Accepting new patients
Shoshone Medical Center CurrentSince Feb 27, 2024 Accepting new patients
Syringa General Hospital District C I F CurrentSince Mar 1, 2022 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Mar 8, 2025 Accepting new patients
Emergency Services Medical Corporation Emergency Medicine CurrentSince Apr 1, 2006 Accepting new patients
Albany General Hospital Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Syringa General Hospital District C I F CurrentSince Mar 1, 2022 Accepting new patients

Locations

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

607 W Main St
Grangeville, ID 83530
Phone (208) 983-1700

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
  • Direct secure messaging: rreinbolt2080075@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1366410367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 6TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211916",
            "telephone_number": "541-812-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINBOLT",
        "first_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD212329",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A75040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A750400",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rreinboltagency275966@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.