Individual provider Active NPI

Martin Hellmuth Reinke, M.D.

  • Ophthalmology Physician
  • Southlake, TX
National Provider Identifier
1710916101
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H9560 Issued in TX
Practice address
1310 N White Chapel Blvd
Southlake, TX 76092-4308
Phone
(817) 310-6080
Fax
(817) 310-6014
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H9560 TX Primary

Addresses

Primary practice location

1310 N White Chapel Blvd
Southlake, TX 76092-4308

Mailing address

1310 N White Chapel Blvd
Southlake, TX 76092-4308
Phone (817) 310-6080

Other identifiers 1

IdentifierTypeStateIssuer
046418202MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001334 TX Practitioner - Ophthalmology 0648252700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1310 N White Chapel Blvd
Southlake, TX 76092-4308
Phone (817) 310-6080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
46.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery275

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MHR Eye Association, P.a. Ophthalmology CurrentSince Feb 24, 2005 Accepting new patients
MHR Eye Association, PC Ophthalmology PastSince May 1, 2005 Accepting new patients
MHR Eye Association, PC Ophthalmology Past Accepting new patients

Locations

1916 Central Dr
Bedford, TX 76021
Phone (817) 283-6607

3537 S Interstate 35 E
Ste 318
Denton, TX 76210
Phone (214) 334-1125

7433 Las Colinas Blvd
Irving, TX 75063
Phone (972) 831-8822

1422 Main St
Ste 208
Southlake, TX 76092
Phone (817) 310-6080

1310 N White Chapel Blvd
Southlake, TX 76092
Phone (817) 310-6080

Interoperability endpoints

  • Direct secure messaging: mreinke@direct.uspi.com
  • Direct secure messaging: mreinke458642@direct.sw.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 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1710916101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N WHITE CHAPEL BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924308",
            "telephone_number": "817-310-6080",
            "fax_number": "817-310-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N WHITE CHAPEL BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924308",
            "telephone_number": "817-310-6080",
            "fax_number": "817-310-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "MARTIN",
        "middle_name": "HELLMUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H9560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046418202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.