Individual provider Active NPI

Elizabeth Thomas Reeves, M.D., M.P.H.

  • Family Medicine Physician
  • Fort George G Meade, MD
National Provider Identifier
1023083615
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101235676 Issued in VA
Practice address
Kimbrough Ambulatory Medical Center
2480 Llewellyn Avenue
Fort George G. Meade, MD 20755
Phone
(301) 677-8800
Fax
(301) 677-8013
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 0101235676 VA
Family Medicine Physician 207Q00000X 0101235676 VA Primary

Addresses

Primary practice location

Kimbrough Ambulatory Medical Center
2480 Llewellyn Avenue
Fort George G. Meade, MD 20755

Mailing address

Kimbrough Ambulatory Care Center
2480 Llewellyn Avenue
Fort George G. Meade, MD 20755-7081
Phone (301) 677-8751

Other names 1

  • Dr. Elizabeth Katherine Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000752 SC Order and Referring Only - Family PracticePractitioner - Family Practice 3072754910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101235676VAMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1023083615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KIMBROUGH AMBULATORY CARE CENTER",
            "address_2": "2480 LLEWELLYN AVENUE",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8751",
            "fax_number": "301-677-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KIMBROUGH AMBULATORY MEDICAL CENTER",
            "address_2": "2480 LLEWELLYN AVENUE",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "301-677-8800",
            "fax_number": "301-677-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "ELIZABETH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "VA",
            "license": "0101235676",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "THOMAS",
            "middle_name": "KATHERINE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort George G Meade, MD

Sources for this page

Verify at the official NPI Registry.