Individual provider Active NPI

Laura Elise Reinertson, M.D.

  • Specialist
  • Aventura, FL
National Provider Identifier
1750408613
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME78533 Issued in FL
Practice address
21150 Biscayne Blvd
Suite 200
Aventura, FL 33180-1226
Phone
(305) 932-8989
Fax
(305) 932-1118
NPI assigned
Mar 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME78533 FL Primary

Addresses

Primary practice location

21150 Biscayne Blvd
Suite 200
Aventura, FL 33180-1226

Mailing address

21150 Biscayne Blvd
Suite 200
Aventura, FL 33180-1226
Phone (305) 932-8989

Other identifiers 1

IdentifierTypeStateIssuer
256658300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050120000752 FL Practitioner - Obstetrics/Gynecology 8820047475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21150 Biscayne Blvd
Suite 200
Aventura, FL 33180-1226

2460 Old Moultrie Rd
St Augustine, FL 32086-4197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME78533FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Roy H Hinman MD PA CurrentSince Mar 24, 2020 Accepting new patients

Locations

1023 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-2222

264 Palm Coast Pkwy NE
#A
Palm Coast, FL 32137
Phone (386) 446-5505

264A Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 446-5505

1099 A1A Beach Blvd
Saint Augustine, FL 32080
Phone (904) 471-9104

2460 Old Moultrie Rd
Ste 2
St Augustine, FL 32086
Phone (904) 293-0299

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1750408613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "SUITE 200",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "305-932-8989",
            "fax_number": "305-932-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "SUITE 200",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "305-932-8989",
            "fax_number": "305-932-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINERTSON",
        "first_name": "LAURA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256658300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.