Theodore K Reahm, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TR013953 Issued in MI

Practice address

3570 1/2 N Veterens Drive
Onaway, MI 49765

Phone

(989) 733-4045

Fax

(989) 733-4046

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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.

• Theodore Reahm DO, PLC

  • Family Medicine Physician
  • Onaway, MI
  • NPI 1205906054

  Family Medicine

  NPD Authorized official
• Aspirus Wausau Hospital, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1922321140
  NPD
• Hospitalist Medicine Physicians of Wisconsin Rapids LTD

  • Internal Medicine Physician
  • Wisconsin Rapids, WI
  • NPI 1164758546
  NPD (past)

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Quality

87.9

Promoting interoperability

100

Improvement activities

40

Cost

73.87

Medicare fee-for-service enrollment

Enrolled in WI

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2008.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1891740379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S HURON STREET",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "49721",
            "telephone_number": "231-597-8192",
            "fax_number": "231-597-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 1/2 N VETERENS DRIVE",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "49765",
            "telephone_number": "989-733-4045",
            "fax_number": "989-733-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAHM",
        "first_name": "THEODORE",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TR013953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0857124294",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00342248",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0857124294",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4943535",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onaway Area Ambulance Service
• Onaway Chiropractic Center PC
• Cheyenne Mary Parent
• Krista Kaye Peterman
• Physicare, Inc
• Elaine C Smith, DO
• Amanda S Stein, RDH
• Sarah Elizabeth Straley, PA-C
• Prerna Suri, DDS
• Theodore Reahm DO, PLC

• All providers in Onaway, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.

Verify at the official NPI Registry.