Active NPI
Austin Reeves, D P M
- Podiatrist
- Texarkana, TX
National Provider Identifier
1962408674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 178
- Practice address
- 4110 McKnight Rd
Texarkana, TX 75503-0921 - Phone
- (903) 223-6000
- Fax
- (903) 223-6016
- NPI assigned
- Jun 27, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1369 | TX | |
| Podiatrist | 213E00000X | 178 | AR | Primary |
| Podiatrist | 213E00000X | P0002214 | FL |
Addresses
Primary practice location
4110 McKnight Rd
Texarkana, TX 75503-0921
Mailing address
4110 McKnight Rd
Texarkana, TX 75503-0921
Phone (903) 223-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154545748 | Medicaid | AR | |
| 018713001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623000542 | AR | Practitioner - Podiatry | 6204811292 | Practice locations: Magnolia, AR |
| I20040715001310 | TX | Practitioner - Podiatry | 6204811292 | Practice locations: Texarkana, TX |
| O20100930073506 | TX | DME Supplier - Physician - Podiatry | 2860472701 | Practice locations: Texarkana, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1010 N Dudney
Suite 1
Magnolia, AR 71753-2651
Phone (870) 234-2737
4110 McKnight Rd
Texarkana, TX 75503-0921
4156 McKnight Rd
Texarkana, TX 75503-0921
Phone (903) 223-6000
Hospital & facility affiliations
- Christus St Michael Health System
- Christus Mother Frances Hospital
- Magnolia Regional Medical Center
- Magnolia Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.6 of 100
- Quality
- 26.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 120 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1533 |
| Removal or shaving of skin growth | 669 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178 | AR | MD | Podiatrist |
| P0002214 | FL | MD | Podiatrist |
| 1369 | TX | MD | Podiatrist |
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Critical Access Hospital
- Magnolia, AR
- NPI 1700407541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1962408674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030921",
"telephone_number": "903-223-6000",
"fax_number": "903-223-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030921",
"telephone_number": "903-223-6000",
"fax_number": "903-223-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "AUSTIN",
"credential": "D P M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1369",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AR",
"license": "178",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "P0002214",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154545748",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018713001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.