Individual provider Active NPI

John Michael Reiser, M.D.

  • Diagnostic Radiology Physician
  • Orchard Park, NY
National Provider Identifier
1790785137
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
193975 Issued in NY
Practice address
40 Birdsong Pkwy
Orchard Park, NY 14127-3068
Phone
(716) 574-2672
NPI assigned
Jul 28, 2005
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 193975 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, TX, IL, FL, WI, MN, GA, KS, NC, SC11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cal Devon Urgent Care Inc Diagnostic Radiology CurrentSince Sep 10, 2017 Accepting new patients
Mobile X-Ray of Austin Inc CurrentSince Apr 13, 2021 Accepting new patients
Big Sky Mobile Imaging LLC CurrentSince Dec 21, 2018 Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Jun 1, 2019 Accepting new patients
Medical Imaging Specialist Inc CurrentSince Feb 1, 2019 Accepting new patients
Cal Devon Urgent Care Inc CurrentSince Oct 9, 2025 Accepting new patients
Quality Medical Imaging of Idaho Inc CurrentSince Jun 1, 2019 Accepting new patients
KND Development 59 , LLC CurrentSince Sep 17, 2018 Accepting new patients
Medical Imaging Specialist Inc Diagnostic Radiology CurrentSince Jun 12, 2019 Accepting new patients
Quality Medical Imaging of Texas, Inc CurrentSince Jan 21, 2021 Accepting new patients
S S B Diagnostic Imaging Group Inc Diagnostic Radiology CurrentSince Oct 23, 2017 Accepting new patients
Rochester Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Alpha Diagnostics LLC Past Accepting new patients
Sisters Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients
Sleep Insights Medical Services, LLC PastSince Dec 1, 2015 Accepting new patients
Highway Imaging Associates, LLP Past Accepting new patients
Seton Imaging Radiology PLLC Diagnostic Radiology Past Accepting new patients
Mobile Diagnostic Testing Services Inc 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

  • FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1790785137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BIRDSONG PKWY",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273068",
            "telephone_number": "716-574-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BIRDSONG PKWY",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273068",
            "telephone_number": "716-574-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "193975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.