Individual provider Active NPI

James Anthony Reichert, D.O.

  • Surgery Physician
  • Celina, OH
National Provider Identifier
1659543403
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34.009532 Issued in OH
Practice address
801 Pro Dr
Ste D2
Celina, OH 45822-3307
Phone
(419) 586-6480
Fax
(419) 586-8574
NPI assigned
Apr 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34.009532 OH Primary

Addresses

Primary practice location

801 Pro Dr
Ste D2
Celina, OH 45822-3307

Mailing address

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone (419) 300-1129

Other identifiers 5

IdentifierTypeStateIssuer
3030508MedicaidOH
9934723OtherOHMEDICARE GROUP PTAN
1184652539OtherOHGROUP NPI - JTDM FAMILY PRACTICE, LLC
0105065OtherOHMEDICAID GROUP
H035101OtherOHMEDICARE INDIVIDUL PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamesreichert@glhs.allscriptsdirect.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
I20091023000374 OH Practitioner - General Surgery 0749327740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio University, College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTDM Family Practice LLCGroup PAC ID 2163415837, 48 clinicians

Practice addresses (Care Compare)

801 Pro Dr
Suite D2
Celina, OH 45822-3307
Phone (419) 586-6480

Hospital & facility affiliations

  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
78
Promoting interoperability
96
Improvement activities
40
Cost
76.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy277
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)18
Upper gastrointestinal (GI) endoscopy for acid reflux196
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009532OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC Surgery CurrentSince Jan 22, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Orthopaedic Institute of Ohio, Inc. Past Accepting new patients
St. Marys Surgical Associates, Inc. Surgery PastSince Jul 5, 1998 Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients
Wheatland Dermatology LLC Past Accepting new patients

Locations

801 Pro Dr
Ste D2
Celina, OH 45822
Phone (419) 586-6480

830 W Main St
Ste E1A
Coldwater, OH 45828
Phone (419) 394-9595

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

1165 S Knoxville Ave
Ste F
Saint Marys, OH 45885
Phone (419) 394-9340

Interoperability endpoints

  • Direct secure messaging: jreichert442337@direct.osumc.edu

Organizations & group practices 6

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1659543403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-300-1129",
            "fax_number": "419-394-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRO DR",
            "address_2": "STE D2",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458223307",
            "telephone_number": "419-586-6480",
            "fax_number": "419-586-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHERT",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.009532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3030508",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "9934723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - JTDM FAMILY PRACTICE, LLC",
            "identifier": "1184652539",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0105065",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUL PTAN",
            "identifier": "H035101",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamesreichert@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "801 Pro Dr",
            "address_2": "Ste D2",
            "city": "Celina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458223307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.