Robert McReynolds, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29566 Issued in NE

Practice address

9040 Jackson Ave
Tacoma, WA 98431-1100

Phone

(253) 968-2825

Fax

(253) 968-2608

NPI assigned

Apr 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Family Practice

Education

Indiana University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency, Hilo, HI, CCN 127312
• Dba Hawai'I Care Choices Hospice, Hilo, HI, CCN 121503
• Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.mcreynolds.1@32277.direct.athenahealth.com

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.

• McReynolds Medical Enterprises LLC

  • Family Medicine Physician
  • Hilo, HI
  • NPI 1316776933
  Medicare reassignment NPD Authorized official
• Heajung Ruesing MD Inc

  • Internal Medicine Physician
  • Hilo, HI
  • NPI 1245289933
  NPD (past)

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

• B.C.P., Inc.

  dba BAYADA Home Health Care

  • Home Health Agency
  • Hilo, HI
  • NPI 1851650618
  Care Compare affiliation
• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1780757856
  Care Compare affiliation
• Hospice of Hilo

  • Community Based Hospice Care Agency
  • Hilo, HI
  • NPI 1326048406
  Care Compare affiliation

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1659767275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-968-2825",
            "fax_number": "253-968-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-968-2825",
            "fax_number": "253-968-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "29566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Jayleen McQuillan, APRN, FNP-C
• Honor Mary McQuinn, DNP ARNP-BC
• Devonte K McRae, SUDPT
• Haywood Maurice McRae
• Makaela McRae, RDH
• Susan L McReynolds, R.D., C.D., C.D.E.
• Nevin Olyen McSpadden, MA
• Tomi L McVay, S.T.
• Patrick J McVeigh, D.C.
• Joy McWade, RN

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.

Verify at the official NPI Registry.