NPIMap

Individual provider Active NPI

James R Reis, MD

  • Internal Medicine Physician
  • Richmond, IN
National Provider Identifier
1821100504
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01058750A Issued in IN
Practice address
1080 University Blvd
Richmond, IN 47374-1256
Phone
(765) 914-0946
Fax
(765) 939-0138
NPI assigned
Aug 31, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24137 SC
Internal Medicine Physician 207R00000X 01058750A IN Primary
Internal Medicine Physician 207R00000X 2012-00404 NC

Addresses

Primary practice location

1080 University Blvd
Richmond, IN 47374-1256

Mailing address

1080 University Blvd
Richmond, IN 47374-1256
Phone (765) 914-0946

Other identifiers 5

IdentifierTypeStateIssuer
1821100504MedicaidSC
200457950MedicaidIN
5920310MedicaidNC
AA2638OtherSCMEDICARE PTAN
NC7012AOtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000157 IN Practitioner - Internal Medicine 3577543115 Practice locations: Richmond, IN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians

Practice addresses (Care Compare)

2390 National Rd W
Richmond, IN 47374-4625

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TST Medical, P.a. Past Accepting new patients
Major Hospital Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients
Henry County Memorial Hospital PastSince Jul 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jreis307555@reidhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willows of RichmondRichmond, IN, CCN 155228 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
Jul 31, 2023
Willows of New CastleNew Castle, IN, CCN 155089 Skilled nursing facility Adp of the SNF Jan 13, 2025
The Springs of RichmondRichmond, IN, CCN 155843 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 15, 2025
Apr 15, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1821100504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 UNIVERSITY BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741256",
            "telephone_number": "765-914-0946",
            "fax_number": "765-939-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 UNIVERSITY BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741256",
            "telephone_number": "765-914-0946",
            "fax_number": "765-939-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "24137",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01058750A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-00404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821100504",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200457950",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920310",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA2638",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC7012A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.