MARLETA REYNOLDS MD – NPI #1336135904
Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

MARLETA REYNOLDS is a surgeon located in CHICAGO, IL. NPPES has assigned the NPI number 1336135904 to MARLETA REYNOLDS on September 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was previously updated about 7 years ago on May 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARLETA REYNOLDS below.

NPI Profile for
MARLETA REYNOLDS

NPI Number
1336135904
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARLETA REYNOLDS
Credentials
MD
Primary location
225 E CHICAGO AVE
CHICAGO, IL 60611
Phone: (800) 543-7362 Fax:
1 Other location(s):
2300 N Childrens Plz
Chicago, IL 60614-3363
Phone: (773) 880-4000
Fax: (773) 281-1576
Mailing address
225 E CHICAGO AVE # 118
CHICAGO, IL 60611-2991
Phone: (312) 227-4210 Fax: (312) 227-9637
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARLETA REYNOLDS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036062051
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0120X
- Surgery / Pediatric Surgery (Primary)
IL 036062051

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.