Individual provider Active NPI

Doug Reincke, PAC

  • Physician Assistant
  • Katy, TX
National Provider Identifier
1639147242
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08651 Issued in TX
Practice address
23923 Cinco Ranch Blvd
Katy, TX 77494-3399
Phone
(713) 486-5344
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003297 MI
Physician Assistant 363A00000X PA08651 TX Primary

Addresses

Primary practice location

23923 Cinco Ranch Blvd
Katy, TX 77494-3399

Mailing address

23923 Cinco Ranch Blvd
Katy, TX 77494-3399
Phone (713) 486-5344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140804000720 TX Practitioner - Physician Assistant 4486757242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-7000

23923 Cinco Ranch Blvd
Katy, TX 77494-3399
Phone (713) 486-5300

6410 Fannin St
Houston, TX 77030-3005

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003297MIMDPhysician Assistant
PA08651TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Physician Assistant CurrentSince Jun 23, 2014 Accepting new patients
Ut Physicians CurrentSince Jun 23, 2014 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23923 Cinco Ranch Blvd
Katy, TX 77494
Phone (713) 486-5300

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

Interoperability endpoints

  • Direct secure messaging: dreincke25109@direct.uth.org

Organizations & group practices 3

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 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1639147242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23923 CINCO RANCH BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943399",
            "telephone_number": "713-486-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23923 CINCO RANCH BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943399",
            "telephone_number": "713-486-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINCKE",
        "first_name": "DOUG",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003297",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.