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MARLETA REYNOLDS MD
NPI 1336135904
Surgery - Pediatric Surgery in Chicago, IL

Active since September 20, 2005PECOS Enrolled
225 E CHICAGO AVE, CHICAGO, IL 60611(800) 543-7362 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marleta Reynolds Md NPPES

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

MARLETA REYNOLDS MD (NPI 1336135904) is an individual pediatric surgery provider in Chicago, Illinois, licensed in Illinois (036062051) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1336135904
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameMARLETA REYNOLDSCredential: MD
Location Address225 E CHICAGO AVEChicago, IL 60611
Mailing Address225 E Chicago Ave # 118Chicago, IL 60611-2991 · (312) 227-4210 · Fax (312) 227-9637
Phone(800) 543-7362
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMay 10, 2019
✔ NPI 1336135904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in IL · 036062051
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
225 E CHICAGO AVE, Chicago, IL 60611
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Secondary Practice Location 1

Location 12300 N Childrens PlzChicago, IL 60614-3363 · Phone (773) 880-4000 · Fax (773) 281-1576

Other Identifiers 1

Medicaid036062051IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marleta 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 20

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

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

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 Marleta Reynolds's NPI number?

The NPI number for Marleta Reynolds is 1336135904. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Marleta Reynolds located?

Marleta Reynolds practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (800) 543-7362.

What is Marleta Reynolds's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Marleta Reynolds enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Marleta Reynolds was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.