Active NPI
Brian Reiter, MD
- Anesthesiology Physician
- Marinette, WI
National Provider Identifier
1881795102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 47648
- Practice address
- 3100 Shore Dr
Marinette, WI 54143-4242 - Phone
- (715) 735-4200
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 47648 | WI | Primary |
Addresses
Primary practice location
3100 Shore Dr
Marinette, WI 54143-4242
Mailing address
4109 Park LN
Menominee, MI 49858-1445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34614800 | Medicaid | WI | |
| 104706109 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | breiter353670@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical Branch at Galveston, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707
Hospital & facility affiliations
- Osf St Francis Hospital and Medical Group
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47648 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Hospital | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Michigan-Alpena PLLC | Anesthesiology | Current | Accepting new patients |
| St Francis Hospital | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Current | Accepting new patients | |
| Aurora Medical Center Bay Area, Inc | Past | Accepting new patients |
Locations
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
Interoperability endpoints
- breiter353670@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1043818156
MI
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Anatomic Pathology & Clinical Pathology Physician
- Escanaba, MI
- NPI 1932206455
-
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
-
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1881795102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 PARK LN",
"city": "MENOMINEE",
"state": "MI",
"postal_code": "498581445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SHORE DR",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434242",
"telephone_number": "715-735-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITER",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2023-03-07",
"certification_date": "2020-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "47648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34614800",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104706109",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "breiter353670@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3400 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462344",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3400 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.