Shane Reynolds, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

001009 Issued in CT

Practice address

488 Main Ave
Norwalk, CT 06851-1008

Phone

(203) 838-0442

NPI assigned

Apr 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sreynolds@usfas.emadirect.md

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.

• Dr. McHugh and Associates, P.C.

  • Podiatrist
  • Watertown, CT
  • NPI 1942204797

  Single Specialty

  Medicare reassignment NPD
• Dr. McHugh and Associates, P.C.

  • Customized Equipment (DME)
  • Watertown, CT
  • NPI 1598769234

  Podiatrist

  NPD
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1427041581

  Single Specialty

  NPD
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1649263880

  Single Specialty

  NPD

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1780079269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511008",
            "telephone_number": "203-838-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511008",
            "telephone_number": "203-838-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHANE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Kevin Reville, MD
• Libby Burr Revis
• Margarita V Revzin, M.D.
• Paulette Patricia Reyes Cabral, MD
• Carla Ann Reynolds, APRN
• Syed Hyder Reza, M.D.
• RFC Health Care Services Inc.
• Harvey L Riback, M.D.
• Kerry E Rice
• Benedict Rich, DDS

• Podiatrist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.

Verify at the official NPI Registry.