Active NPI
Michael Leo Reeves, MD
- Specialist
- Chattanooga, TN
National Provider Identifier
1952359093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000019635
- Practice address
- 725 Glenwood Dr
Suite E688
Chattanooga, TN 37404-1163 - Phone
- (423) 648-1148
- Fax
- (423) 643-2217
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000019635 | TN | Primary |
Addresses
Primary practice location
725 Glenwood Dr
Suite E688
Chattanooga, TN 37404-1163
Mailing address
PO Box 80458
Chattanooga, TN 37414-7458
Phone (423) 495-7580
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010025756 | Other | TN | RAIL ROAD MEDICARE |
| 0089721 | Other | TN | BLUE CROSS/BLUE SHIELD |
| TN0101 | Other | TN | JOHN DEERE |
| 621387786 | Other | TN | PRIVATE PAYER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117001147 | TN | Practitioner - Endocrinology | 6800081787 | Practice locations: Chattanooga, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000019635 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dianne C. Roland, MD | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Chattanooga, TN
- NPI 1942732938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1952359093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80458",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374147458",
"telephone_number": "423-495-7580",
"fax_number": "423-495-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 GLENWOOD DR",
"address_2": "SUITE E688",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041163",
"telephone_number": "423-648-1148",
"fax_number": "423-643-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "MICHAEL",
"middle_name": "LEO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000019635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "010025756",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0089721",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN0101",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PAYER",
"identifier": "621387786",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.