Individual provider Active NPI

Nianda Reid, M.D.

  • Dermatology Physician
  • Spring House, PA
National Provider Identifier
1053604132
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD451659 Issued in PA
Practice address
909 Sumneytown Pike Ste 105
Spring House, PA 19477-1011
Phone
(267) 609-2424
Fax
(267) 609-2425
NPI assigned
May 23, 2011
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD451659 PA Primary

Addresses

Primary practice location

909 Sumneytown Pike Ste 105
Spring House, PA 19477-1011

Mailing address

909 Sumneytown Pike Ste 105
Spring House, PA 19477-1011
Phone (267) 609-2424

Other practice location 1

123 Chestnut St # 300
Philadelphia, PA 19106-3059
Phone (267) 609-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140731002564 PA Practitioner - Dermatology 0042436750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Rochester School of Medicine and Dentistry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Embrace Dermatology and Aesthetics, LLCGroup PAC ID 0648676296, 6 clinicians

Practice addresses (Care Compare)

123 Chestnut St
Suite 300
Philadelphia, PA 19106-3059
Phone (267) 609-2424

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions467
Removal or shaving of skin growth14
Skin biopsy209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451659PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Dermatology and Aesthetics, LLC Dermatology CurrentSince Sep 1, 2021 Accepting new patients
Embrace Dermatology and Aesthetics, LLC Dermatology PastSince Sep 1, 2021 Accepting new patients

Locations

909 Sumneytown Pike
Ste 105
Spring House, PA 19477
Phone (215) 643-1200

Interoperability endpoints

  • Direct secure messaging: nreid@embracederm.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1053604132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SUMNEYTOWN PIKE STE 105",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194771011",
            "telephone_number": "267-609-2424",
            "fax_number": "267-609-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SUMNEYTOWN PIKE STE 105",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194771011",
            "telephone_number": "267-609-2424",
            "fax_number": "267-609-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Chestnut St # 300",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063059",
            "country_code": "US",
            "telephone_number": "267-609-2424",
            "fax_number": "267-609-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "NIANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD451659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring House, PA

Sources for this page

Verify at the official NPI Registry.