Individual provider Active NPI

Alisha Dawn Reiss, M.D.

  • Surgery Physician
  • Greenville, OH
National Provider Identifier
1740575190
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
TRAINING Issued in OH
Practice address
804 Central Ave
Greenville, OH 45331-1206
Phone
(937) 547-0107
Fax
(937) 547-0335
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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 TRAINING OH Primary

Addresses

Primary practice location

804 Central Ave
Greenville, OH 45331-1206

Mailing address

835 Sweitzer St
Greenville, OH 45331-1077
Phone (937) 569-6937

Other practice location 1

793 W State St
Columbus, OH 43222-1551
Phone (614) 234-5983

Other names 1

  • Alisha Dawn Flatter Former name

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
I20130517000092 OH Practitioner - General Surgery 5890946321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Hospital Company Professional Services LLCGroup PAC ID 3476695354, 11 clinicians

Practice addresses (Care Compare)

835 Sweitzer St
Greenville, OH 45331-1007
Phone (937) 569-6237

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as group
Quality
98
Promoting interoperability
99
Improvement activities
40
Cost
79.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRAININGOHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Hospital Company Professional Services LLC Surgery CurrentSince Aug 1, 2016 Accepting new patients

Locations

804 Central Ave
Greenville, OH 45331
Phone (937) 547-0107

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wayne HealthcareGreenville, OH, CCN 361335 Hospital Corporate Director Mar 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1740575190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311077",
            "telephone_number": "937-569-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CENTRAL AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311206",
            "telephone_number": "937-547-0107",
            "fax_number": "937-547-0335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 W State St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221551",
            "country_code": "US",
            "telephone_number": "614-234-5983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISS",
        "first_name": "ALISHA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "TRAINING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "FLATTER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.