Individual provider Active NPI

Thomas M Reske, MD

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1669545802
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230169 Issued in MA
Practice address
88 Enewton - Robinson 2 Geriatrics Department
Boston Medical Center
Boston, MA 02118
Phone
(617) 638-6100
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230169 MA Primary

Addresses

Primary practice location

88 Enewton - Robinson 2 Geriatrics Department
Boston Medical Center
Boston, MA 02118

Mailing address

88 E Newton - Robinson 2 Geriatrics Department
Boston Medical Center
Boston, MA 02118
Phone (617) 638-6100

Other identifiers 2

IdentifierTypeStateIssuer
2165551MedicaidLA
09055392MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20111102000052 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8325234990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230169MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Oct 1, 2011 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 1, 2012 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Oct 1, 2011 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Evans Geriatric Section of Evans PastSince Aug 1, 2018 Accepting new patients
Evans Medical Foundation, Inc. Internal Medicine Past Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1514 Jefferson Hwy
New Orleans, LA 70121

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 7

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1669545802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E NEWTON - ROBINSON 2 GERIATRICS DEPARTMENT",
            "address_2": "BOSTON MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ENEWTON - ROBINSON 2 GERIATRICS DEPARTMENT",
            "address_2": "BOSTON MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESKE",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "230169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165551",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09055392",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.