Active NPI
Jochen Reiser, MD ,PHD
- Nephrology Physician
- Miami, FL
National Provider Identifier
1851382402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME103154
- Practice address
- 1580 NW 10TH Ave
Batch 633a
Miami, FL 33136-1013 - Phone
- (305) 243-2349
- Fax
- (305) 243-3506
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 224081 | MA | |
| Internal Medicine Physician | 207R00000X | ME103154 | FL | |
| Nephrology Physician | 207RN0300X | 224081 | MA | |
| Nephrology Physician | 207RN0300X | ME103154 | FL | Primary |
Addresses
Primary practice location
1580 NW 10TH Ave
Batch 633a
Miami, FL 33136-1013
Mailing address
1500 NW 12 Ave
JMT East 1007
Miami, FL 33136-1028
Phone (305) 243-4606
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468479 | Other | MA | TUFTS HEALTH PLAN |
| 001279400 | Medicaid | FL | |
| J28718 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Interoperability endpoints
- jreiser56507@direct.rush.rush-health.com
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1851382402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NW 12 AVE",
"address_2": "JMT EAST 1007",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361028",
"telephone_number": "305-243-4606",
"fax_number": "305-243-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 NW 10TH AVE",
"address_2": "BATCH 633A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361013",
"telephone_number": "305-243-2349",
"fax_number": "305-243-3506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISER",
"first_name": "JOCHEN",
"name_prefix": "Dr.",
"credential": "MD ,PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "224081",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME103154",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "224081",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME103154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "468479",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001279400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J28718",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.