Active NPI
William Clark Reed Jr., MD
- Family Medicine Physician
- Richmond, VA
National Provider Identifier
1104801935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101234551
- Practice address
- 1602 Skipwith Rd
Richmond, VA 23229 - Phone
- (804) 288-0399
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101234551 | VA | Primary |
Addresses
Primary practice location
1602 Skipwith Rd
Richmond, VA 23229
Mailing address
4050 Innslake Dr
Suite 308
Glen Allen, VA 23060-3327
Phone (804) 521-5315
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8348712 | Other | VA | CINGA |
| 10070317 | Medicaid | VA | |
| 1104801935 | Medicaid | VA | |
| 140837 | Other | VA | ANTHEM BCBS |
| 302011 | Other | VA | ANTHEM BCBS |
| P00130348 | Other | VA | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 543-2120
Hospital & facility affiliations
- Westminster Canterbury Corporation
- Hospice of Virginia
- Westminster Canterbury Richmond at Home LLC
- Bon Secours Memorial Regional Medical Center
- Westminster-Canterbury of Richmond
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234551 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SNF LTC Partners of Virginia | Family Medicine | Current | Accepting new patients |
| Commonwealth Primary Care | Family Medicine | Past | Accepting new patients |
Locations
1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1982231148
-
- Family Medicine Physician
- Richmond, VA
- NPI 1750571287
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mechanicsville, VA
- NPI 1912969064
-
- Community Based Hospice Care Agency
- Richmond, VA
- NPI 1851747661
-
- Community Based Hospice Care Agency
- Richmond, VA
- NPI 1508334640
-
- Skilled Nursing Facility
- Richmond, VA
- NPI 1679541551
Nursing home
-
- Home Health Agency
- Richmond, VA
- NPI 1215448311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1104801935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 INNSLAKE DR",
"address_2": "SUITE 308",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603327",
"telephone_number": "804-521-5315",
"fax_number": "804-521-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 SKIPWITH RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23229",
"telephone_number": "804-288-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "WILLIAM",
"middle_name": "CLARK",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101234551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CINGA",
"identifier": "8348712",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10070317",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104801935",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "140837",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "302011",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00130348",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.