Alex G Reish, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

46517 Issued in CO

Practice address

5377 Manhattan Cir Ste 200
Boulder, CO 80303-4345

Phone

(303) 225-6625

Fax

(303) 225-6626

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Pain ManagementAlso: Family Practice, Osteopathic Manipulative Medicine

Education

University of New England, College of Osteo Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17330/brand/1/csg/1/fhir/r4
• Direct secure messaging: alex.reish.2@17330.direct.athenahealth.com

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.

• Boulder Headache and Pain PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Boulder, CO
  • NPI 1114432903
  Medicare reassignment NPD Authorized official
• University of New England

  dba University Healthcare

  • Family Medicine Physician
  • Biddeford, ME
  • NPI 1699752055

  Neuromusculoskeletal Medicine & Omm

  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760694525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BASELINE RD., E-104, #274",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-225-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5377 MANHATTAN CIR STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034345",
            "telephone_number": "303-225-6625",
            "fax_number": "303-225-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5387 Manhattan Cir",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803034284",
            "country_code": "US",
            "telephone_number": "303-494-2705",
            "fax_number": "303-494-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISH",
        "first_name": "ALEX",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46517",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "46517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62451383",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Reid
• Amy Carol Reidhead, DC, FNP-C, BSN-RN
• Johannah Reilly, ND, LAC
• Elise Catherine Reinhard, M.D.
• Marika Reisberg
• Releaf Therapy, LLC
• Reliant Psychiatric Services, LLC
• Hilah Neisha Remaily
• Gary Frank Remes, LMT.
• David Straten Remmert, PSY.D.

• Neuromusculoskeletal Medicine & OMM Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.