Active NPI
Michael Issac Reinganum, MD
- Emergency Medicine Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 60468
- Practice address
- 250 Park St
Bowling Green, KY 42101-1760 - Phone
- (270) 745-1000
- NPI assigned
- May 2, 2022
- 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 | 60468 | KY | Primary |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101-1760
Mailing address
605 Pine CT
Bowling Green, KY 42103-7927
Phone (615) 569-4852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Park St
Bowling Green, KY 42101-1795
Phone (270) 745-1000
Hospital & facility affiliations
- The Medical Center (Bowling Green)
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60468 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Single Specialty | Current | Accepting new patients |
Locations
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
Interoperability endpoints
- michael.reinganum@mmhs.medicity.net
Organizations & group practices 1
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
- Maysville, KY
- NPI 1356379382
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1376288688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 PINE CT",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037927",
"telephone_number": "615-569-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011760",
"telephone_number": "270-745-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINGANUM",
"first_name": "MICHAEL",
"middle_name": "ISSAC",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "KY",
"license": "60468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.