Active NPI
Reginald Fears, MD
- Physical Medicine & Rehabilitation Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 01088276A
- Practice address
- 1947 N Founders Cir
Wichita, KS 67206-3548 - Phone
- (316) 613-4670
- NPI assigned
- Jul 1, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 04-38273 | KS | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 036.167047 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 01088276A | IN | Primary |
Addresses
Primary practice location
1947 N Founders Cir
Wichita, KS 67206-3548
Mailing address
PO Box 8035
Wichita, KS 67208-0035
Phone (316) 689-9135
Other practice location 1
2231 Carew St
Fort Wayne, IN 46805-4713
Phone (260) 425-6780
Other practice location 2
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 915-5059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201116030A | Medicaid | KS | |
| 003719396 | Other | MEDICARE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | rfears515487@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, IL
- 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
- Physical Medicine and Rehabilitation
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 915-5045
Hospital & facility affiliations
- Ingalls Memorial Hospital
- Alexian Brothers Medical Center 1
- Alexian Brothers Medical Center
- Ingalls Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.167047 | IL | MD | Physical Medicine & Rehabilitation Physician |
| 01088276A | IN | MD | Physical Medicine & Rehabilitation Physician |
| 04-38273 | KS | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Medical Services Ric | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients | |
| Leklan PC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
2757 Solution Ctr
Chicago, IL 60677
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
Interoperability endpoints
- rfears285788@uchospital.direct-ci.com
- rfears515487@direct.parkviewexchange.com
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1659306587
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
-
- Physical Medicine & Rehabilitation Physician
- Kansas City, MO
- NPI 1063885986
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- Rehabilitation Hospital Unit
- Elk Grove Village, IL
- NPI 1902941628
Inpatient rehabilitation facility
-
- Rehabilitation Hospital Unit
- Harvey, IL
- NPI 1023105566
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1912294661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8035",
"city": "WICHITA",
"state": "KS",
"postal_code": "672080035",
"telephone_number": "316-689-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1947 N FOUNDERS CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063548",
"telephone_number": "316-613-4670"
}
],
"practiceLocations": [
{
"address_1": "2231 Carew St",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468054713",
"country_code": "US",
"telephone_number": "260-425-6780",
"fax_number": "260-373-9225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Ingalls Dr",
"address_purpose": "LOCATION",
"city": "Harvey",
"state": "IL",
"postal_code": "604263558",
"country_code": "US",
"telephone_number": "708-915-5059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEARS",
"first_name": "REGINALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-01",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KS",
"license": "04-38273",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036.167047",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01088276A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201116030A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "003719396",
"state": null
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "2231 Carew St",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468054713",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rfears515487@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "2231 Carew St",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468054713",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2231 Carew St",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468054713",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.