Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Martin Nicholas Reis, MD

Individual provider Neuroradiology Physician · NPI 1205802154

Dr. Martin Nicholas Reis, MD is a Nuclear Medicine in Saint Louis, Missouri. Graduated from Columbia University College of Physicians and Surgeons in 2000, 26 years ago. Practices with Miracl LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 S Kingshighway Blvd Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 2003002969 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2003002969 (MO)

Record details

NPI number1205802154
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2000 (26 years in practice)
Group practice Miracl Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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