Individual provider Active NPI

Jeffery M Reuben

  • Specialist
  • Okatie, SC
National Provider Identifier
1831269083
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21737 Issued in SC
Practice address
40 Okatie Ctr Blvd Ste 205
Okatie, SC 29909-7511
Phone
(843) 379-7746
Fax
(843) 522-1275
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21737 SC Primary

Addresses

Primary practice location

40 Okatie Ctr Blvd Ste 205
Okatie, SC 29909-7511

Mailing address

PO Box 670
Port Royal, SC 29935-0670
Phone (843) 379-7746

Other identifiers 1

IdentifierTypeStateIssuer
T59460MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000059 SC Practitioner - Orthopedic Surgery 2668552886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians
Jeffery M Reuben, MD PAGroup PAC ID 6103906326, 4 clinicians

Practice addresses (Care Compare)

123 Canal St
Suite 203
Pooler, GA 31322-4104
Phone (912) 988-1283

18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670

40 Okatie Ctr Blvd
Suite 205
Okatie, SC 29909-7511
Phone 84337977462322

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Hampton Regional Medical Center Hospital, Varnville, SC, CCN 420072

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion131
Laminectomy or laminotomy (partial removal of spine bones)60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21737SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery M Reuben, MD PA CurrentSince Nov 1, 2007 Accepting new patients
Jeffery M. Reuben, MD PA CurrentSince Nov 1, 2007 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746

1010 Medical Center Dr
Ste 130
Hardeeville, SC 29927
Phone (843) 784-3611

40 Okatie Center Blvd S
Ste 100
Okatie, SC 29909
Phone (843) 379-7746

40 Okatie Center Blvd S
Ste 350
Okatie, SC 29909
Phone (843) 705-8940

40 Okatie Center Blvd S
Ste 205
Okatie, SC 29909
Phone (843) 379-7746

40 Okatie Center Blvd S
Okatie, SC 29909
Phone (843) 705-8804

Interoperability endpoints

  • Direct secure messaging: jefferyreuben@rss.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Novant Health Hilton Head Medical CenterHilton Head Island, SC, CCN 420080 Hospital Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 3

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 5

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1831269083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299350670",
            "telephone_number": "843-379-7746",
            "fax_number": "843-522-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CTR BLVD STE 205",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097511",
            "telephone_number": "843-379-7746",
            "fax_number": "843-522-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUBEN",
        "first_name": "JEFFERY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "21737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T59460",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.