Active NPI
Jason Reter, D.O.
- Family Medicine Physician
- Sterling, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036103279
- Practice address
- 100 E Le Fevre Rd
Sterling, IL 61081-1278 - Phone
- (815) 625-0400
- Fax
- (815) 625-6728
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036103279 | IL | Primary |
Addresses
Primary practice location
100 E Le Fevre Rd
Sterling, IL 61081-1278
Mailing address
100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00215024 | Other | RAILROAD MEDICARE | |
| 318403199001 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jason.reter.p1@direct.cghmc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Chicago College of Osteopathy, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790
3010 E Lynn Blvd
Sterling, IL 61081-1717
Phone (815) 625-6750
601 E Old Mill St
Milledgeville, IL 61051-9221
Phone (815) 225-6040
Hospital & facility affiliations
- CGH Home Nursing
- Gaffey Home Nursing & Hospice, Inc
- Rock River Hospice and Home
- CGH Medical Center
- Osf Saint Katharine Medical Center
- Citadel of Sterling,the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036103279 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CGH Medical Center | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| CGH Medical Center | Family Medicine | Current | Accepting new patients |
| Rock River Health, Inc. | Family Medicine | Past | Accepting new patients |
Locations
711 S Division Ave
Polo, IL 61064
Phone (815) 946-3661
3010 E Lynn Blvd
Sterling, IL 61081
Phone (815) 622-0836
10 W 3rd St
Sterling, IL 61081
Phone (815) 226-4990
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
Interoperability endpoints
- jreter20113@cghmc.direct-ci.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
- Family Medicine Physician
- Sterling, IL
- NPI 1548540636
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sterling, IL
- NPI 1871533828
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Skilled Nursing Facility
- Sterling, IL
- NPI 1811401540
Nursing home
-
- Home Health Agency
- Sterling, IL
- NPI 1821156316
-
- Community Based Hospice Care Agency
- Sterling, IL
- NPI 1003836560
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1902856859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LE FEVRE RD",
"city": "STERLING",
"state": "IL",
"postal_code": "610811278",
"telephone_number": "815-625-0400",
"fax_number": "815-625-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LE FEVRE RD",
"city": "STERLING",
"state": "IL",
"postal_code": "610811278",
"telephone_number": "815-625-0400",
"fax_number": "815-625-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETER",
"first_name": "JASON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036103279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00215024",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318403199001",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jason.reter.p1@direct.cghmc.nextgenshare.com",
"affiliation": "N",
"address_1": "100 E Le Fevre Rd",
"city": "Sterling",
"state": "IL",
"country_code": "US",
"postal_code": "610811278",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sterling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.