Active NPI
Paul J Reiling, M.D.
- Ophthalmology Physician
- Tucson, AZ
National Provider Identifier
1578834180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4965
- Practice address
- 5945 N Cerrada Miguel
Tucson, AZ 85718-4117 - Phone
- (520) 299-1450
- NPI assigned
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4965 | AZ | Primary |
Addresses
Primary practice location
5945 N Cerrada Miguel
Tucson, AZ 85718-4117
Mailing address
5945 N. Cerrada Miguel
Tucson, AZ 85718-4117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4965 | Other | AZ | ARIZONA MEDICAL BOARD |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4965 | AZ | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1578834180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5945 N. CERRADA MIGUEL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857184117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5945 N CERRADA MIGUEL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857184117",
"telephone_number": "520-299-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILING",
"first_name": "PAUL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "4965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MEDICAL BOARD",
"identifier": "4965",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.