DR. MARTIN NICHOLAS REIS (MD) – Neuroradiology Physician, NPI 1205802154

DR. MARTIN NICHOLAS REIS (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in NUCLEAR MEDICINE, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2003002969 (MO). The NPI Number for DR. MARTIN NICHOLAS REIS (MD) is 1205802154

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTIN NICHOLAS REIS (MD)
NPI
1205802154
Phone
(314) 362-7200
Address
510 S KINGSHIGHWAY BLVD
Enumeration Date
28 February 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
31436272001
Graduation Year
2000 (26 years ago)
PAC ID
8527159805
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20070801000593
Address ID
MO631101016SA510XXBLVD400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

59 NUCLEAR MEDICINE in MO

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Provider Addresses for DR. MARTIN NICHOLAS REIS (MD)

  • South Kingshighway Boulevard, North Hampton, City of Saint Louis, Missouri, 63116, United States

    DEPT RADIOLOGY

    SAINT LOUIS, MO 631101016

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8131

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070801000593INuclear MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast665597$0
70553Mri scan of brain before and after contrast425407$0
72125Ct scan of upper spine without contrast194193$0
72148Mri scan of lower spinal canal without contrast169169$0
70491Ct scan of soft tissue of neck with contrast157150$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830008770View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. MARTIN NICHOLAS REIS (MD)?
For DR. MARTIN NICHOLAS REIS (MD), use NPI 1205802154 as the unique 10-digit identifier.
Is there an active status for DR. MARTIN NICHOLAS REIS (MD)?
For scheduling context, DR. MARTIN NICHOLAS REIS (MD) is shown as active in the registry.
What kind of doctor is DR. MARTIN NICHOLAS REIS (MD)?
DR. MARTIN NICHOLAS REIS (MD) is associated with Neuroradiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MARTIN NICHOLAS REIS (MD) located near Saint Louis?
DR. MARTIN NICHOLAS REIS (MD) currently maps to Saint Louis, Missouri in this extract.
Can I trust this NPI listing for DR. MARTIN NICHOLAS REIS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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