Individual provider Active NPI

Keith A Reich, DO

  • Rheumatology Physician
  • Dyer, IN
National Provider Identifier
1902863285
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
02001078 Issued in IN
Practice address
919 Main St Ste 201
Dyer, IN 46311-3717
Phone
(219) 922-3002
Fax
(219) 922-3003
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 02001078A IN
Rheumatology Physician 207RR0500X 02001078 IN Primary

Addresses

Primary practice location

919 Main St Ste 201
Dyer, IN 46311-3717

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

761 45th Ave
Ste 103
Munster, IN 46321-2893
Phone (219) 922-3002

Other identifiers 1

IdentifierTypeStateIssuer
100361860AMedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kreich64115@Direct.FranciscanAlliance.org Direct
Direct Messaging Address kreich64115@Direct.FranciscanAlliance.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418001888 IL Practitioner - Rheumatology 7214952357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ucm Medical Group Sub LLCGroup PAC ID 4688635337, 101 clinicians

Practice addresses (Care Compare)

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300

17805 Halsted St
Homewood, IL 60430-2011
Phone (708) 333-2300

19550 Governors Hwy
Flossmoor, IL 60422-2147
Phone (708) 342-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001078AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists Inc., P.C. Internal Medicine Current Accepting new patients
Ucm Medical Group Sub, LLC Internal Medicine CurrentSince Feb 23, 2024 Accepting new patients
Franciscan Medical Specialists Internal Medicine Past Accepting new patients
Medical Specialists Inc., PC Internal Medicine PastSince Feb 16, 2010 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

27702 Network Pl
Chicago, IL 60673

19550 Governors Hwy
Ste 3800
Flossmoor, IL 60422

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

761 45th St
Ste 103
Munster, IN 46321
Phone (219) 922-3002

757 45th St
Ste 201
Munster, IN 46321
Phone (219) 922-5550

2001 US Highway 41
Schererville, IN 46375
Phone (219) 365-0970

Interoperability endpoints

  • Direct secure messaging: kreich293525@uchospital.direct-ci.com
  • Direct secure messaging: kreich64115@direct.franciscanalliance.org

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.

Hospital & facility affiliations 6

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1902863285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MAIN ST STE 201",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113717",
            "telephone_number": "219-922-3002",
            "fax_number": "219-922-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 45th Ave",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212893",
            "country_code": "US",
            "telephone_number": "219-922-3002",
            "fax_number": "219-922-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICH",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02001078A",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "02001078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361860A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kreich64115@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "761 45th Ave",
            "address_2": "Ste 103",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kreich64115@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "919 Main St Ste 201",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463113717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.