Active NPI
Michael I Reiff, MD
- Developmental - Behavioral Pediatrics Physician
- Springfield, MA
National Provider Identifier
1952484768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 35536
- Practice address
- 50 Wason Avenue
Springfield, MA 01107 - Phone
- (413) 794-5437
- NPI assigned
- Oct 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35536 | MA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 35536 | MA | Primary |
Addresses
Primary practice location
50 Wason Avenue
Springfield, MA 01107
Mailing address
280 Chestnut Street 2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700
Other practice location 1
516 Delaware St SE
PWB Fourth Floor, Room 4-100
Minneapolis, MN 55455
Phone (612) 625-7466
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065331 | Medicaid | MT | |
| 112164 | Other | MN | UCARE |
| 008580400 | Medicaid | MN | |
| 1016806 | Other | MN | PREFERRED ONE |
| 12-02472 | Other | MN | MEDICA CHOICE |
| 12-09026 | Other | MN | MEDICA PRIMARY |
| 785186 | Other | MN | ARAZ |
| HP30558 | Other | MN | HEALTH PARTNERS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | 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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1952484768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET 2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WASON AVENUE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01107",
"telephone_number": "413-794-5437"
}
],
"practiceLocations": [
{
"address_1": "516 Delaware St SE",
"address_2": "PWB Fourth Floor, Room 4-100",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55455",
"country_code": "US",
"telephone_number": "612-625-7466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIFF",
"first_name": "MICHAEL",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "35536",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "MA",
"license": "35536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0065331",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "112164",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008580400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1016806",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "12-02472",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "12-09026",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "785186",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP30558",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.