Individual provider Active NPI

Austin Reeves, D P M

  • Podiatrist
  • Texarkana, TX
National Provider Identifier
1962408674
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
178 Issued in AR
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

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
154545748MedicaidAR
018713001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Texarkana, TX, CCN 450801
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 041336
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 040067

Merit-based Incentive Payment System (MIPS)

Final score
70.6 of 100Reported as individual
Quality
26.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue120
Removal of skin lesions1-10
Removal of nail tissue1533
Removal or shaving of skin growth669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178ARMDPodiatrist
P0002214FLMDPodiatrist
1369TXMDPodiatrist

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.