Active NPI
Herbert Walter Reiher, MD
- Internal Medicine Physician
- South Windsor, CT
National Provider Identifier
1639156334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 028631
- Practice address
- 1340 Sullivan Ave
Prime Healthcare
South Windsor, CT 06074-2713 - Phone
- (860) 644-1521
- Fax
- (860) 644-3335
- NPI assigned
- Dec 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 028631 | CT | Primary |
Addresses
Primary practice location
1340 Sullivan Ave
Prime Healthcare
South Windsor, CT 06074-2713
Mailing address
30 Jordan LN
Prime Healthcare
Wethersfield, CT 06109-1278
Phone (860) 263-0253
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028631 | Other | CT | MEDICAL LICENSE |
| 010028631CT01 | Other | CT | BCBS |
| 001286310 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028631 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639156334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 JORDAN LN",
"address_2": "PRIME HEALTHCARE",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091278",
"telephone_number": "860-263-0253",
"fax_number": "860-263-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 SULLIVAN AVE",
"address_2": "PRIME HEALTHCARE",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060742713",
"telephone_number": "860-644-1521",
"fax_number": "860-644-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIHER",
"first_name": "HERBERT",
"middle_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "028631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "028631",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010028631CT01",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001286310",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
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- Refuge Psychological Services
- Reliable Respiratory, Inc.
- Renewed Hope Counseling Center
- Revive Therapeutics, LLC
- Rheumatology Specialists of Connecticut, Inc.
- Rheumatology Specialists of Connecticut, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.