Individual provider Active NPI

Kathleen Anne Reinhart, D.O.

  • Pediatrics Physician
  • Monroe, MI
National Provider Identifier
1952398398
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101007682 Issued in MI
Practice address
14930 Laplaisance Rd
Suite 127
Monroe, MI 48161-3880
Phone
(734) 243-2510
Fax
(734) 243-0957
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101007682 MI Primary

Addresses

Primary practice location

14930 Laplaisance Rd
Suite 127
Monroe, MI 48161-3880

Mailing address

14930 Laplaisance Rd
Suite 127
Monroe, MI 48161-3880
Phone (734) 243-2510

Other identifiers 3

IdentifierTypeStateIssuer
2893002MedicaidMI
3555831714OtherMIBCBSM
M024026OtherMICHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101007682MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Reinhart DO PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathleenreinhart@kathleenreinhart.ssdirect.aprima.com

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1952398398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD",
            "address_2": "SUITE 127",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613880",
            "telephone_number": "734-243-2510",
            "fax_number": "734-243-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD",
            "address_2": "SUITE 127",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613880",
            "telephone_number": "734-243-2510",
            "fax_number": "734-243-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHART",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101007682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "3555831714",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "M024026",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.