Active NPI
Michael F Reidy, MD
- Pulmonary Disease Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 36111
- Practice address
- 1215 N Beaver St
Flagstaff, AZ 86001-3120 - Phone
- (928) 773-2200
- Fax
- (928) 773-2300
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MEDPHYSCOMLIC112031 | MT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 19443 | NV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 36111 | AZ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | M-11933 | ID | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD165581 | OR | |
| Pulmonary Disease Physician | 207RP1001X | 36811 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 19443 | NV | |
| Pulmonary Disease Physician | 207RP1001X | 36111 | AZ | Primary |
Addresses
Primary practice location
1215 N Beaver St
Flagstaff, AZ 86001-3120
Mailing address
PO Box 967
Flagstaff, AZ 86002-0967
Phone (928) 773-0003
Other practice location 1
1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-7878
Other practice location 2
350 Heritage Way Ste 2100
Kalispell, MT 59901-3167
Phone (406) 257-8992
Other practice location 3
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 302-2055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158034 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DEPTLHRevIntegrityHIMTechs@logan.org | Kalispell Regional Medical Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- George Washington University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
340 S Willard St
Cottonwood, AZ 86326-4126
Phone (928) 639-6025
7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36111 | AZ | MD | Critical Care Medicine (Internal Medicine) Physician |
| MEDPHYSCOMLIC112031 | MT | MD | Critical Care Medicine (Internal Medicine) Physician |
| 36811 | NC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Pathology Associates | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Internal Medicine | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Flagstaff Intensive Care Specialists, PLLC | Past | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| St Vincent Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Flagstaff Medical Center | Past | Accepting new patients | |
| Flagstaff Medical Center | Past | Accepting new patients | |
| Dakota Specialty Institute | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
199 S Candy Ln
Ste 1A
Cottonwood, AZ 86326
Phone (602) 634-5551
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1215 N Beaver St
Flagstaff, AZ 86001
Phone (928) 773-2200
Interoperability endpoints
- mreidy155273@direct.renown.org
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Internal Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Flagstaff, AZ
- NPI 1306205612
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Acute Care Nurse Practitioner
- Flagstaff, AZ
- NPI 1679018873
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1851388961
-
- General Acute Care Hospital
- Folsom, CA
- NPI 1356389878
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1568489268
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1609950500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860020967",
"telephone_number": "928-773-0003",
"fax_number": "928-773-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013120",
"telephone_number": "928-773-2200",
"fax_number": "928-773-2300"
}
],
"practiceLocations": [
{
"address_1": "1155 Mill St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895021576",
"country_code": "US",
"telephone_number": "775-982-7878",
"fax_number": "775-982-4196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Heritage Way Ste 2100",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013167",
"country_code": "US",
"telephone_number": "406-257-8992",
"fax_number": "406-257-8996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1055 N Curtis Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061309",
"country_code": "US",
"telephone_number": "208-302-2055",
"fax_number": "208-302-2055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIDY",
"first_name": "MICHAEL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MT",
"license": "MEDPHYSCOMLIC112031",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NV",
"license": "19443",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "36111",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "ID",
"license": "M-11933",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OR",
"license": "MD165581",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "36811",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NV",
"license": "19443",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "36111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158034",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DEPTLHRevIntegrityHIMTechs@logan.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "350 Heritage Way Ste 2100",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013167",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.