Active NPI
Pem Reainthong, ACNP
- Acute Care Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1028615
- Practice address
- Methodist Charlton Medical Center
3500 West Wheatland Rd
Dallas, TX 75237 - Phone
- (682) 225-5222
- NPI assigned
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1028615 | TX | Primary |
Addresses
Primary practice location
Methodist Charlton Medical Center
3500 West Wheatland Rd
Dallas, TX 75237
Mailing address
1218 Platte Dr
Mansfield, TX 76063-6376
Phone (682) 225-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 E Hwy 287
Midlothian, TX 76065-4107
Phone (954) 377-2954
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028615 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonestar Hospital Medicine Associates, PA | Current | Accepting new patients | |
| Khuong Phan, D.O., P.a. | Current | Accepting new patients |
Locations
8200 Matlock Rd
Ste 100
Arlington, TX 76002
Phone (817) 473-7197
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
8553 N Beach St
Fort Worth, TX 76244
Phone (682) 215-4657
920 Highway 287 N
Mansfield, TX 76063
Phone (817) 473-7197
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
-
- Internal Medicine Physician
- Mansfield, TX
- NPI 1710006556
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1356960132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1437742996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 PLATTE DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636376",
"telephone_number": "682-225-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "METHODIST CHARLTON MEDICAL CENTER",
"address_2": "3500 WEST WHEATLAND RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75237",
"telephone_number": "682-225-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAINTHONG",
"first_name": "PEM",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1028615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.