Individual provider Active NPI

Reynolds Josias Risseeuw, MD

  • Obstetrics & Gynecology Physician
  • Chillicothe, OH
National Provider Identifier
1609306869
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.145659 Issued in OH
Practice address
610 Blackwater Rd
Chillicothe, OH 45601-9003
Phone
(740) 642-4400
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 35.145659 OH Primary

Addresses

Primary practice location

610 Blackwater Rd
Chillicothe, OH 45601-9003

Mailing address

610 Blackwater Rd
Chillicothe, OH 45601-9003
Phone (740) 642-4400

Other practice location 1

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.obgyn@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220811001823 OH Practitioner - Obstetrics/Gynecology 6709269525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Obhg Ohio CorpGroup PAC ID 6406281492, 15 clinicians
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (864) 908-3639

610 Blackwater Rd
Chillicothe, OH 45601-9003
Phone (740) 642-4400

Hospital & facility affiliations

  • Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.145659OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Jun 15, 2025 Accepting new patients
Adena Medical Group LLC CurrentSince Aug 1, 2022 Accepting new patients
Obhg Ohio Corp Obstetrics & Gynecology CurrentSince Feb 1, 2025 Accepting new patients
Adena Health System Past Accepting new patients

Locations

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

610 Blackwater Rd
Chillicothe, OH 45601
Phone (740) 642-4400

610 Blackwater Rd
Ste 1
Chillicothe, OH 45601

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

400 Matthew St
Marietta, OH 45750
Phone (740) 373-4111

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: rrisseeuw1060734@direct.osumc.edu
  • Direct secure messaging: reynolds.risseeuw@mmhs.medicity.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1609306869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BLACKWATER RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019003",
            "telephone_number": "740-642-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BLACKWATER RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019003",
            "telephone_number": "740-642-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Main St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032621",
            "country_code": "US",
            "telephone_number": "973-754-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISSEEUW",
        "first_name": "REYNOLDS",
        "middle_name": "JOSIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.145659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.obgyn@adena.medicity.net",
            "affiliation": "N",
            "address_1": "610 Blackwater Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.