Individual provider Active NPI

Michael George Reynolds, M.D.

  • Specialist
  • Emporia, KS
National Provider Identifier
1760486526
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-24388 Issued in KS
Practice address
1602 W 15TH Ave
Ste B
Emporia, KS 66801-5672
Phone
(620) 342-6989
Fax
(620) 342-2262
NPI assigned
Jun 9, 2005
Last updated
Aug 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04-24388 KS Primary

Addresses

Primary practice location

1602 W 15TH Ave
Ste B
Emporia, KS 66801-5672

Mailing address

1602 W 15TH Ave
Ste B
Emporia, KS 66801-5672
Phone (620) 342-6989

Other identifiers 3

IdentifierTypeStateIssuer
48-0792406OtherOLD TAX ID
100164440AMedicaidKS
47-1424576OtherTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050510000929 KS Practitioner - Ophthalmology 4587571591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reynolds and Anliker Eye Physicians and Surgeons LLCGroup PAC ID 6507181146, 3 clinicians

Practice addresses (Care Compare)

1602 W 15TH Ave
Suite B
Emporia, KS 66801-9804
Phone (620) 342-6989

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
73.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.03 of 100Reported as group
Quality
90.67
Improvement activities
40
Cost
72.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24388KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds & Anliker Eye Physicians & Surgeons LLC CurrentSince Jan 1, 2015 Accepting new patients
Hillsboro Hospital LLC CurrentSince Apr 7, 2020 Accepting new patients
Iola Vision Source, LLC PastSince Oct 13, 2013 Accepting new patients

Locations

1 E 2nd St
Chanute, KS 66720
Phone (620) 431-2300

32 W Main St
Chanute, KS 66720
Phone (620) 431-0010

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

600 N Washington St
#A
Council Grove, KS 66846

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1602 W 15th Ave
Ste A
Emporia, KS 66801
Phone (620) 343-7200

1602 W 15th Ave
Ste B
Emporia, KS 66801
Phone (620) 342-6909

1508 Madison St
Fredonia, KS 66736
Phone (620) 378-3761

1527 Madison St
Fredonia, KS 66736
Phone (316) 378-2121

101 Industrial Rd
Hillsboro, KS 67063
Phone (620) 877-4165

132 S Main St
Hillsboro, KS 67063
Phone (620) 647-5631

701 S Main St
Hillsboro, KS 67063
Phone (620) 947-3114

109 W Madison Ave
Iola, KS 66749
Phone (316) 365-3212

216 N Jefferson Ave
Iola, KS 66749
Phone (620) 365-2108

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

3012 Anderson Ave
Manhattan, KS 66503
Phone (785) 537-1118

535 S Freeborn St
Marion, KS 66861
Phone (620) 382-2033

537 S Freeborn St
Marion, KS 66861
Phone (620) 382-2033

131 W Market St
Ste A
Osage City, KS 66523
Phone (620) 803-8616

Interoperability endpoints

  • Direct secure messaging: michael.reynolds.d1.p5@direct.gvg.nextgenshare.com
  • Direct secure messaging: michael.reynolds.p4@direct.gvg.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1760486526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W 15TH AVE",
            "address_2": "STE B",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015672",
            "telephone_number": "620-342-6989",
            "fax_number": "620-342-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W 15TH AVE",
            "address_2": "STE B",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015672",
            "telephone_number": "620-342-6989",
            "fax_number": "620-342-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-24388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD TAX ID",
            "identifier": "48-0792406",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100164440A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "47-1424576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.