TODD REYBURN MD NPI 1043218555

NPI Information

  • NPI: 1043218555
  • Provider Name: TODD REYBURN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2008 W BOULEVARD
    KOKOMO, IN
    ZIP 46902
  • Phone: (765) 454-9729

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NPI Details

Todd Reyburn, MD is a diagnostic radiology radiology in Kokomo, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Todd Reyburn, MD NPI is 1043218555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2008 W BOULEVARD
KOKOMO, IN
ZIP 46902-079
Phone: (765) 454-9729

The NPI 1043218555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 7/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology01048555AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00256219OTHERINDIANARAILROAD MEDICARE
2G55507MEDICARE UPININDIANA
3000000363372OTHERINDIANABC/BS INDIVIDUAL PIN NO
4225330BMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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