NPIMap

Individual provider Active NPI

Ronald R. Reichel, M.D. - PH.D

  • Nephrology Physician
  • Everett, WA
National Provider Identifier
1750313151
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
60166663 Issued in WA
Practice address
1111 Pacific Avenue
Suite B
Everett, WA 98201
Phone
(425) 257-1100
Fax
(425) 257-1106
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A86094 CA
Nephrology Physician 207RN0300X MD.203487 LA
Nephrology Physician 207RN0300X 60166663 WA Primary

Addresses

Primary practice location

1111 Pacific Avenue
Suite B
Everett, WA 98201

Mailing address

1514 Jefferson Hwy
Suite B
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
1810991MedicaidLA
00822049MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315000909 NY Practitioner - Nephrology 3577580281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winifred Masterson Burke Rehabilitation HospitalGroup PAC ID 4385551241, 12 clinicians
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone (914) 597-2500

99 Business Park Dr
Armonk, NY 10504-1720
Phone (914) 849-7900

Hospital & facility affiliations

  • DaVita White Plains Dialysis Center Dialysis facility, White Plains, NY, CCN 332599
  • DaVita Port Chester Dialysis and Renal Center Dialysis facility, Purchase, NY, CCN 332559
  • DaVita Sandford Boulevard Dialysis Dialysis facility, Mount Vernon, NY, CCN 332778
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86094CAMDNephrology Physician
60166663WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Winifred Masterson Burke Rehabilitation Hospital CurrentSince Oct 1, 2022 Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Oct 1, 2022 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital Current Accepting new patients
White Plains Physician Services PC CurrentSince Jan 26, 2021 Accepting new patients
Marin Hospitalist Medical Group, Inc. PastSince May 20, 2005 Accepting new patients
Liberty RC Inc PastSince Sep 30, 2024 Accepting new patients
C J Kuan MD Inc PS Nephrology PastSince Mar 1, 2002 Accepting new patients
Total Renal Care Inc PastSince Sep 27, 2013 Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

600 Mamaroneck Ave
Ste 101
Harrison, NY 10528
Phone (914) 686-0111

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

1296 North Ave
New Rochelle, NY 10804
Phone (914) 235-7435

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 8

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 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1750313151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "address_2": "SUITE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PACIFIC AVENUE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-257-1100",
            "fax_number": "425-257-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHEL",
        "first_name": "RONALD",
        "middle_name": "R.",
        "credential": "M.D. - PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A86094",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.203487",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "60166663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810991",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00822049",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.