Active NPI
Michael Alan Reisman, M.D.
- Ophthalmology Physician
- Scottsdale, AZ
National Provider Identifier
1770724031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 27953
- Practice address
- 37697 N 94TH St
Scottsdale, AZ 85262-2539 - Phone
- (480) 488-4933
- Fax
- (480) 488-5448
- NPI assigned
- Mar 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 27953 | AZ | Primary |
Addresses
Primary practice location
37697 N 94TH St
Scottsdale, AZ 85262-2539
Mailing address
37697 N 94TH St
Scottsdale, AZ 85262-2539
Phone (480) 488-4933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160413002126 | AZ | Order and Referring Only - Emergency Medicine | 7911205638 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1770724031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37697 N 94TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852622539",
"telephone_number": "480-488-4933",
"fax_number": "480-488-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37697 N 94TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852622539",
"telephone_number": "480-488-4933",
"fax_number": "480-488-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISMAN",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "27953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.