Individual provider Active NPI

Robert F Reynolds, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Evansville, IN
National Provider Identifier
1487785259
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
01049005A Issued in IN
Practice address
3700 Washington Ave
Evansville, IN 47714-0541
Phone
(812) 485-4491
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01049005A IN
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 01049005A IN Primary

Addresses

Primary practice location

3700 Washington Ave
Evansville, IN 47714-0541

Mailing address

800 Sunset Ave
Apt C
Evansville, IN 47713-3315

Other practice location 1

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070517000173 IN Practitioner - Family PracticePractitioner - Emergency Medicine 8527165091 Reassigns benefits to 2 organizations
I20070808000347 KY Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 8527165091 Reassigns benefits to 3 organizations
Practice locations: Henderson, KY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049005AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Apr 7, 2017 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA CurrentSince Aug 15, 2022 Accepting new patients
Vohra Wound Physicians of the West, P.C. CurrentSince Aug 15, 2022 Accepting new patients
South Central Physicians PLLC CurrentSince May 15, 2023 Accepting new patients
St. Mary'S Health Inc Past Accepting new patients
Emergency Medicine Physicians of Vanderburgh County, PC Emergency Medicine Past Accepting new patients
Hendersons Minor Outpatient Medicine, LLC PastSince Apr 8, 1997 Accepting new patients
Total Family Care, PC Past Accepting new patients
Kentucky Emergency Medicine Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

10200 Forest Green Blvd
Ste 112
Louisville, KY 40223
Phone (502) 214-5343

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1487785259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SUNSET AVE",
            "address_2": "APT C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477133315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424202783",
            "country_code": "US",
            "telephone_number": "270-827-7100",
            "fax_number": "270-827-7446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01049005A",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IN",
            "license": "01049005A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.