John Michael Reiser, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Orchard Park, NY
NPI 1790785137 · NPPES record last updated Jul 24, 2012
Key facts
- NPI
- 1790785137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 193975 (NY)
- Practice address
- 40 Birdsong Pkwy
Orchard Park, NY 14127-3068 - Phone
- (716) 574-2672
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (11 enrollments) in NY, PA, TX, IL, FL, WI, MN, GA, KS, NC, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040720000706 | NY | Practitioner - Diagnostic Radiology | 6507845781 | |
| I20120904000346 | PA | Practitioner - Diagnostic Radiology | 6507845781 | |
| I20130529000248 | TX | Practitioner - Diagnostic Radiology | 6507845781 | |
| I20171031002679 | IL | Practitioner - Diagnostic Radiology | 6507845781 | Reassigns benefits to 2 organizations |
| I20180713000986 | FL | Practitioner - Diagnostic Radiology | 6507845781 | |
| I20181018000929 | WI | Practitioner - Diagnostic Radiology | 6507845781 | |
| I20181130001533 | MN | Practitioner - Diagnostic Radiology | 6507845781 | |
| I20181221000356 | GA | Practitioner - Diagnostic Radiology | 6507845781 | |
| I20190104001507 | KS | Practitioner - Diagnostic Radiology | 6507845781 | |
| I20190115000383 | NC | Practitioner - Diagnostic Radiology | 6507845781 | Reassigns benefits to 1 organization |
| I20190128000074 | SC | Practitioner - Diagnostic Radiology | 6507845781 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193975 | NY | MD | Diagnostic Radiology Physician |
Practice roles (19 of 21)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cal Devon Urgent Care Inc | Current |
Accepting new patients | |
| S S B Diagnostic Imaging Group Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Cal Devon Urgent Care Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Mobile X-Ray of Austin Inc | Current |
Accepting new patients | |
| Medical Imaging Specialist Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Quality Medical Imaging of Idaho Inc | Current |
Accepting new patients | |
| Big Sky Mobile Imaging LLC | Current |
Accepting new patients | |
| Medical Imaging Specialist Inc | Current |
Accepting new patients | |
| Quality Medical Imaging of Arizona, Inc | Current |
Accepting new patients | |
| KND Development 59 , LLC | Current |
Accepting new patients | |
| Quality Medical Imaging of Texas, Inc | Current |
Accepting new patients | |
| Seton Imaging Radiology PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Rochester Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Alpha Diagnostics LLC | Past | Accepting new patients | |
| Highway Imaging Associates, LLP | Past | Accepting new patients | |
| Sisters Diagnostic Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Mobile Diagnostic Testing Services Inc | Past | Accepting new patients | |
| Sleep Insights Medical Services, LLC | Past |
Accepting new patients | |
| Alpha Diagnostics LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
6208 Oakton St
Morton Grove, IL 60053
Phone (773) 262-5400
9944 S Roberts Rd
Ste 106
Palos Hills, IL 60465
Phone (708) 634-2929
2401 S Side Blvd
Greensboro, NC 27406
Phone (336) 271-2800
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 193975 | NY | Yes |
Addresses
Primary practice location
40 Birdsong Pkwy
Orchard Park, NY 14127-3068
Mailing address
40 Birdsong Pkwy
Orchard Park, NY 14127-3068
Phone (716) 574-2672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000525977008 | Other | BLUE SHIELD OF WESTERN NY | |
| CR1939750B | Other | NY | WORKERS COMPENSATION |
| 02060997 | Medicaid | NY | |
| P00422403 | Other | RAILROAD MEDICARE | |
| 208616656 | Other | FIDELIS | |
| P00259090 | Other | NY | RAILROAD MEDICARE |
| 00025112506 | Other | UNIVERA | |
| 5611064 | Other | INDEPENDENT HEALTH |
Other providers in Orchard Park, NY
- Gillian Paige Grobe Reichmuth
- Brendon Reilly
- Eileen B Reilly
- Tara Lyn Reimer
- Stephen Reinhart
- Carl Remmes
- Casey Renaud
- James Paul Rew
- Susan J Ribes
- Joseph Anthony Riccione
All providers in Orchard Park, NY · Diagnostic Radiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.