Individual provider Active NPI

Richard Alan Reines, M.D.

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1396735239
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME30821 Issued in FL
Practice address
4614 Hollywood Blvd
Hollywood, FL 33021-6502
Phone
(954) 987-7230
Fax
(954) 989-0913
NPI assigned
Oct 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME30821 FL Primary

Addresses

Primary practice location

4614 Hollywood Blvd
Hollywood, FL 33021-6502

Mailing address

4614 Hollywood Blvd
Hollywood, FL 33021-6502
Phone (954) 987-7230

Other identifiers 1

IdentifierTypeStateIssuer
059835600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000553 FL Practitioner - Family Practice 1759305030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

Practice addresses (Care Compare)

4614 Hollywood Blvd
Hollywood, FL 33021-6502
Phone (954) 987-7230

Hospital & facility affiliations

  • Distinguished Home Health Care Services Inc Home health agency, Cooper City, FL, CCN 108097
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Westlake Nursing and Rehab Center Nursing home, Dania Beach, FL, CCN 105296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME30821FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Associatesmd Medical Group Inc Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Vitas Solutions Inc Past Accepting new patients

Locations

1437 S Federal Hwy
Dania Beach, FL 33004
Phone (954) 399-9941

4780 SW 64th Ave
Ste 101
Davie, FL 33314

4780 SW 64th Ave
Ste 103
Davie, FL 33314

4614 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 256-9422

Interoperability endpoints

  • Direct secure messaging: richard.reines@amd.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1130025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1396735239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216502",
            "telephone_number": "954-987-7230",
            "fax_number": "954-989-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216502",
            "telephone_number": "954-987-7230",
            "fax_number": "954-989-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINES",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-23",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME30821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059835600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.