Individual provider Active NPI

Michael Joseph Reschak, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1396735734
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
114706 Issued in MO
Practice address
6744 Clayton Rd Ste 310
Saint Louis, MO 63117-1639
Phone
(314) 367-6600
Fax
(314) 367-5982
NPI assigned
Oct 26, 2005
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 114706 MO Primary

Addresses

Primary practice location

6744 Clayton Rd Ste 310
Saint Louis, MO 63117-1639

Mailing address

6744 Clayton Rd Ste 310
Saint Louis, MO 63117-1639
Phone (314) 367-6600

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Missouri Inc Internal Medicine Past Accepting new patients
James Ginther M.D. P.C. Internal Medicine Past Accepting new patients
Premier Medical Specialists, LLC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.reschak.p64@direct.tenet.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1396735734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171639",
            "telephone_number": "314-367-6600",
            "fax_number": "314-367-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171639",
            "telephone_number": "314-367-6600",
            "fax_number": "314-367-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESCHAK",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "114706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.