Active NPI
Helena A Reid, DPM
- Foot Surgery Podiatrist
- Moline, IL
National Provider Identifier
1104822691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 016-004885
- Practice address
- 840 35TH Avenue PL
Suite 102
Moline, IL 61265-8026 - Phone
- (309) 762-5200
- Fax
- (309) 762-5636
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 016-004885 | IL | Primary |
Addresses
Primary practice location
840 35TH Avenue PL
Suite 102
Moline, IL 61265-8026
Mailing address
840 35TH Avenue PL
Suite 102
Moline, IL 61265-8026
Phone (309) 762-5200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04532384 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 42117624432 | Other | IL | UNITED HEALTHCARE RV |
| 480025984 | Other | IL | MEDICARE RAIL ROAD PROVID |
| K29441 | Other | IL | MC INDIVIDUAL PROVIDER # |
| 139503800 | Other | IL | DEPT OF LABOR |
| 96291 | Other | IA | WELLMARK BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 John Deere Rd
Suite 200
Moline, IL 61265-6812
Phone (309) 779-4200
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.74 of 100
- Quality
- 78.19
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 80.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 103 |
| Removal of nail tissue | 800 |
| Removal or shaving of skin growth | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-004885 | IL | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Arts Associates, LTD. | Foot Surgery | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
600 John Deere Rd
Ste 200
Moline, IL 61265
Phone (309) 779-4200
Interoperability endpoints
- hreid92465@direct.unitypoint.org
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1104822691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 35TH AVENUE PL",
"address_2": "SUITE 102",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658026",
"telephone_number": "309-762-5200",
"fax_number": "309-762-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 35TH AVENUE PL",
"address_2": "SUITE 102",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658026",
"telephone_number": "309-762-5200",
"fax_number": "309-762-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "HELENA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IL",
"license": "016-004885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "04532384",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE RV",
"identifier": "42117624432",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD PROVID",
"identifier": "480025984",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC INDIVIDUAL PROVIDER #",
"identifier": "K29441",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "139503800",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS PROVIDER #",
"identifier": "96291",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.