Individual provider Active NPI

Reinhard Karl Kage, MD

  • Allergy & Immunology Physician
  • Manchester, CT
National Provider Identifier
1902891013
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
039413 Issued in CT
Practice address
361 Main St
Manchester, CT 06040-4127
Phone
(860) 646-9929
Fax
(860) 646-7999
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 039413 CT Primary

Addresses

Primary practice location

361 Main St
Manchester, CT 06040-4127

Mailing address

361 Main St
Manchester, CT 06040-4127
Phone (860) 646-9929

Other identifiers 3

IdentifierTypeStateIssuer
2622766OtherAETNA PROVIDER ID
0V9772OtherHEALTH NET PROVIDER ID
010033888CT01OtherANTHEM PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2012 through Jul 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology and Allergy Institute of CT, LLC Allergy & Immunology Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1902891013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404127",
            "telephone_number": "860-646-9929",
            "fax_number": "860-646-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404127",
            "telephone_number": "860-646-9929",
            "fax_number": "860-646-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGE",
        "first_name": "REINHARD",
        "middle_name": "KARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "039413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2622766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET PROVIDER ID",
            "identifier": "0V9772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "010033888CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.