Individual provider Active NPI

Payton Reiter, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1568812477
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S6721 Issued in TX
Practice address
2308 Maxwell LN Unit 1
Austin, TX 78741-6639
Phone
(737) 235-8024
Fax
(737) 201-2696
NPI assigned
Jun 21, 2016
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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 S6721 TX Primary

Addresses

Primary practice location

2308 Maxwell LN Unit 1
Austin, TX 78741-6639

Mailing address

2308 Maxwell LN Unit 1
Austin, TX 78741-6639
Phone (737) 235-8024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NH, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220804000405 TX Practitioner - Family Practice 0547642704 Reassigns benefits to 1 organization
I20240816003379 NH Practitioner - Family Practice 0547642704 Reassigns benefits to 2 organizations
I20241004001138 IL Practitioner - Family Practice 0547642704 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jan 29, 2024 Accepting new patients
Complexcare Medical Group Northeast H PLLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

33 Christian Ave
Concord, NH 03301
Phone (603) 224-5363

30 County Dr
Laconia, NH 03246
Phone (603) 527-5410

139 Winter St
Tilton, NH 03276
Phone (603) 493-0665

3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6707

4917 Ravenswood Dr
San Antonio, TX 78227
Phone (210) 521-7676

Interoperability endpoints

  • Direct secure messaging: payton.reiter.1@30093.direct.athenahealth.com

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1568812477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 MAXWELL LN UNIT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416639",
            "telephone_number": "737-235-8024",
            "fax_number": "737-201-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 MAXWELL LN UNIT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416639",
            "telephone_number": "737-235-8024",
            "fax_number": "737-201-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "PAYTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S6721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.