KERISIMASI L REYNOLDS D.O.
NPI 1518282920
Orthopaedic Surgery - Sports Medicine in Fremont, CA

Q: What is Kerisimasi Reynolds's NPI number?

The NPI number for Kerisimasi Reynolds is 1518282920. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Kerisimasi Reynolds's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since March 30, 2010PECOS EnrolledAccepts Medicare Assignment

81.41/100

CMS Quality Rating

39180 FARWELL DR STE 110, FREMONT, CA 94538(510) 739-6520(510) 739-6522 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2019, Jun 16, 2016 (2 updates tracked since 2016).

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About Kerisimasi L Reynolds D.o. NPPES

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

KERISIMASI L REYNOLDS D.O. (NPI 1518282920) is an individual sports medicine provider in Fremont, California, licensed in California (20A13974) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1518282920

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameKERISIMASI L REYNOLDSCredential: D.O.

Location Address39180 FARWELL DR STE 110Fremont, CA 94538-1015

Mailing Address39180 Farwell Dr Ste 110Fremont, CA 94538-1015 · (510) 739-6520 · Fax (510) 739-6522

Phone(510) 739-6520

Fax(510) 739-6522

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 30, 2010

Last NPPES UpdateSeptember 4, 20192 updates tracked since enumeration

✔ NPI 1518282920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · 20A13974

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

39180 FARWELL DR STE 110, Fremont, CA 94538

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerisimasi L Reynolds D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113159518

PECOS Enrollment IDI20160914002213

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

103 services51 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

33 services33 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.45

Improvement Activities

Other Providers at the Same Location NPPES 3

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

MITRA JAVANDEL CHAPMAN M.D.

Orthopaedic Surgery

39180 FARWELL DR STE 110
FREMONT, CA 94538

Alameda County (510) 739-6520

NANA SUGANO

Occupational Therapist

39180 FARWELL DR STE 110
FREMONT, CA 94538

Alameda County (510) 350-3030

JANICE ORTEGA-SANTOS COOPER MSN, NP

Nurse Practitioner

39180 FARWELL DR STE 110
FREMONT, CA 94538

Alameda County (510) 739-6520

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 Kerisimasi Reynolds's NPI number?

The NPI number for Kerisimasi Reynolds is 1518282920. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Kerisimasi Reynolds located?

Kerisimasi Reynolds practices at 39180 Farwell Dr Ste 110, Fremont, CA 94538. The listed phone number is (510) 739-6520.

What is Kerisimasi Reynolds's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Kerisimasi Reynolds enrolled in Medicare?

Yes. Kerisimasi Reynolds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kerisimasi Reynolds was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.