KATHY L REYNOLDS MD
NPI 1124076278
Pediatrics - Pediatric Critical Care Medicine in Sioux Falls, SD

Q: What is Kathy Reynolds's NPI number?

The NPI number for Kathy Reynolds is 1124076278. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Kathy Reynolds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Reynolds was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2006PECOS Enrolled

800 EAST 21ST STREET, SIOUX FALLS, SD 57105(605) 322-8000 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathy L Reynolds Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHY L REYNOLDS MD (NPI 1124076278) is an individual pediatric critical care medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (4743) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124076278

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameKATHY L REYNOLDSCredential: MD

Location Address800 EAST 21ST STREETSioux Falls, SD 57105-1016

Mailing AddressPo Box 1450 Nw 0090Minneapolis, MN 55485-0090 · (800) 279-1395 · Fax (517) 694-6441

Phone(605) 322-8000

Sole ProprietorNo

Enumeration DateMay 4, 2006

Last NPPES UpdateNovember 13, 2008

✔ NPI 1124076278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in SD · 4743✔ Licensed in NV · 11712

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 9701856 (NC)

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 38372 (CO)

Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License 4743 (SD)

800 EAST 21ST STREET, Sioux Falls, SD 57105

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Other Identifiers 6

Medicare UPINE95777

Medicaid891113PNC

Medicaid063407700MN

Medicaid002019725NV

Medicaid6700510SD

Medicaid64900789CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathy L Reynolds Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS R TETZLAFF MD

Pediatrics (Pediatric Critical Care Medicine)

800 EAST 21ST STREET
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Reynolds's NPI number?

The NPI number for Kathy Reynolds is 1124076278. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kathy Reynolds located?

Kathy Reynolds practices at 800 East 21st Street, Sioux Falls, SD 57105. The listed phone number is (605) 322-8000.

What is Kathy Reynolds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kathy Reynolds enrolled in Medicare?

Yes. Kathy Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathy Reynolds was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.