Eric Reynolds, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

MD-46549 Issued in IA

Practice address

1345 SW Park Square Dr Ste 200
Ankeny, IA 50023-2687

Phone

(515) 440-2676

Fax

(515) 440-2677

NPI assigned

Apr 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Sports MedicineAlso: Pediatric Medicine

Education

University of Iowa, RJ & L Carver College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Orthopaedics and Sports Medicine PCGroup PAC ID 3476691551, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19659/brand/1/csg/1/fhir/r4
• Direct secure messaging: eric.reynolds.1@19659.direct.athenahealth.com

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.

• Capital Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1932432457
  Medicare reassignment Care Compare group NPD
• Cosm LLP

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1972384519
  Medicare reassignment
• Capital Orthopaedics and Sports Medicine LLP

  • Orthopaedic Surgery Physician
  • Des Moines, IA
  • NPI 1407093008
  NPD (past)
• Iowa Ear Center

  • Specialist
  • Clive, IA
  • NPI 1780818138
  NPD (past)
• Mercy Clinics, Inc

  • Primary Care Clinic/Center
  • Des Moines, IA
  • NPI 1710903364
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1992124341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE STE 210",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258288",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 SW PARK SQUARE DR STE 200",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232687",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-46549",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "IA",
            "license": "MD-46549",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IA",
            "license": "MD-46549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Renze, D.C., D.I.B.C.N.
• Restorative Therapy LLC
• Revitalize Wellness Center
• Revive Clinic and Spa
• Revive Therapy Services, LLC
• Abby Rae Rezansoff
• Rachel Rhamy, DPT
• Deanna Rice, LMSW
• Alison Richards, PHARMD
• Noah Richards, DPT

• Sports Medicine (Family Medicine) Physician in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Sports Medicine (Family Medicine) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.

Verify at the official NPI Registry.