Individual provider Active NPI

Reanen E. Michael Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
National Provider Identifier
1801228952
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
339 Issued in NE
Practice address
7100 W Center Rd
Omaha, NE 68106-2700
Phone
(402) 506-9127
Fax
(402) 261-0243
NPI assigned
Jul 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 339 NE Primary

Addresses

Primary practice location

7100 W Center Rd
Omaha, NE 68106-2700

Mailing address

7100 W Center Rd
Omaha, NE 68106-2700
Phone (402) 506-9127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131125000034 NE Practitioner - Podiatry 7214161355 Reassigns benefits to 1 organization
I20241013000030 CO Practitioner - Podiatry 7214161355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Valley OrthopedicsGroup PAC ID 8820353964, 27 clinicians

Practice addresses (Care Compare)

2373 G Rd
Grand Junction, CO 81505-1003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue256
Removal of skin lesions1-10
Removal of nail tissue20
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley Orthopedics Current Accepting new patients
Think Aksarben, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2016 Accepting new patients
Grand Valley Orthopedics CurrentSince Oct 1, 2024 Accepting new patients
Grand Valley Orthopedics CurrentSince Oct 1, 2024 Accepting new patients

Locations

2532 Patterson Rd
Ste 10
Grand Junction, CO 81505
Phone (970) 241-2820

2373 G Rd
Ste 100
Grand Junction, CO 81505
Phone (970) 245-0484

2373 G Rd
Grand Junction, CO 81505
Phone (970) 242-2429

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1801228952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062700",
            "telephone_number": "402-506-9127",
            "fax_number": "402-261-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062700",
            "telephone_number": "402-506-9127",
            "fax_number": "402-261-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "REANEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.