Individual provider Active NPI

Herbert A McReynolds, M.D.

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1710987466
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
13330 Issued in AZ
Practice address
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone
(520) 872-6264
NPI assigned
Jul 22, 2005
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 13330 AZ Primary

Addresses

Primary practice location

1601 W Saint Marys Rd
Tucson, AZ 85745-2623

Mailing address

2850 N Country Club Rd
Tucson, AZ 85716-1910
Phone (520) 322-6274

Other practice location 1

1802 W Saint Marys Rd
Tucson, AZ 85745-2619
Phone (520) 205-7520

Other practice location 2

2850 N Country Club Rd
Tucson, AZ 85716-1910
Phone (520) 322-6274

Other identifiers 1

IdentifierTypeStateIssuer
195017MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040420001558 AZ Practitioner - Emergency Medicine 1456347186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Florida College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunbelt Medical Group LLCGroup PAC ID 4082983465, 20 clinicians

Practice addresses (Care Compare)

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000

6264 E Grant Rd
Tucson, AZ 85712-5882
Phone (520) 884-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue237
Removal of skin lesions12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbelt Medical Group LLC CurrentSince May 1, 2019 Accepting new patients
Sunbelt Medical Group LLC CurrentSince May 1, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Mar 29, 2017 Accepting new patients
Emergency Room Associates Past Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1601 N Tucson Blvd
Ste 40
Tucson, AZ 85716
Phone (520) 209-1919

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1802 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 205-7520

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1710987466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-322-6274",
            "fax_number": "520-509-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452623",
            "telephone_number": "520-872-6264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 W Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452619",
            "country_code": "US",
            "telephone_number": "520-205-7520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 N Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857161910",
            "country_code": "US",
            "telephone_number": "520-322-6274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "HERBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "13330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195017",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.