Individual provider Active NPI

Frederick Reindl, M.D.

  • Pediatrics Physician
  • Cape Carteret, NC
National Provider Identifier
1851334700
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2011-01874 Issued in NC
Practice address
319 WB McLean Dr
Cape Carteret, NC 28584-8516
Phone
(252) 424-0004
Fax
(252) 764-0019
NPI assigned
Jun 14, 2006
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011-01874 NC
Pediatrics Physician 208000000X 2011-01874 NC Primary

Addresses

Primary practice location

319 WB McLean Dr
Cape Carteret, NC 28584-8516

Mailing address

PO Box 986513
Department 100
Boston, MA 02298-6513
Phone (910) 219-8326

Other practice location 1

120 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581

Other practice location 2

1106 Main Street Ext
Swansboro, NC 28584-9114
Phone (910) 325-0581

Other identifiers 1

IdentifierTypeStateIssuer
5922017MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130129000268 NC Practitioner - Pediatric MedicinePractitioner - Internal Medicine 3375667769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Children's and Multispecialty Clinic, PAGroup PAC ID 6709968811, 21 clinicians

Practice addresses (Care Compare)

1106 Main St Ext
Swansboro, NC 28584-9114
Phone (910) 325-0581

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-01874NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amm Healthcare, PA Internal Medicine CurrentSince May 22, 2022 Accepting new patients
Jacksonville Children's and Multispecialty Clinic, PA Internal Medicine CurrentSince Nov 10, 2012 Accepting new patients
Family Care Clinic, P.a. Past Accepting new patients

Locations

319 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3345

114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976

120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

1106 Main Street Ext
Swansboro, NC 28584
Phone (910) 325-0581

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1851334700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986513",
            "address_2": "DEPARTMENT 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986513",
            "telephone_number": "910-219-8326",
            "fax_number": "910-939-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WB MCLEAN DR",
            "city": "CAPE CARTERET",
            "state": "NC",
            "postal_code": "285848516",
            "telephone_number": "252-424-0004",
            "fax_number": "252-764-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466328",
            "country_code": "US",
            "telephone_number": "910-353-0581",
            "fax_number": "910-353-1351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Main Street Ext",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285849114",
            "country_code": "US",
            "telephone_number": "910-325-0581",
            "fax_number": "910-325-0582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINDL",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2011-01874",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2011-01874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922017",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Carteret, NC

Sources for this page

Verify at the official NPI Registry.