Individual provider Active NPI

Mark Alan Reichard, M.D.

  • Specialist
  • Norwood, MA
National Provider Identifier
1396738605
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
41096 Issued in MA
Practice address
825 Washington Street
Suite 240
Norwood, MA 02062-3441
Phone
(781) 769-4660
Fax
(781) 769-0371
NPI assigned
Aug 23, 2005
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 41096 MA Primary

Addresses

Primary practice location

825 Washington Street
Suite 240
Norwood, MA 02062-3441

Mailing address

825 Washington Street
Suite 240
Norwood, MA 02062-3441
Phone (781) 769-4660

Other identifiers 4

IdentifierTypeStateIssuer
17006OtherMAHARVARD PILGRIM
C18113OtherMABLUE CROSS/BLUE SHIELD
702195OtherMATUFTS
0106623MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050923000178 MA Practitioner - Orthopedic Surgery 0749176659 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41096MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Reichard,Chabot&Messineo ,M.D.,P.C. PastSince Feb 26, 2004 Accepting new patients

Organizations & group practices 2

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1396738605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON STREET",
            "address_2": "SUITE 240",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-769-4660",
            "fax_number": "781-769-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON STREET",
            "address_2": "SUITE 240",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-769-4660",
            "fax_number": "781-769-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHARD",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "41096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "17006",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "C18113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "702195",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106623",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.