Individual provider Active NPI

Helena A Reid, DPM

  • Foot Surgery Podiatrist
  • Moline, IL
National Provider Identifier
1104822691
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
016-004885 Issued in IL
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

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04532384OtherILBLUE CROSS BLUE SHIELD IL
42117624432OtherILUNITED HEALTHCARE RV
480025984OtherILMEDICARE RAIL ROAD PROVID
K29441OtherILMC INDIVIDUAL PROVIDER #
139503800OtherILDEPT OF LABOR
96291OtherIAWELLMARK 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060913000053 IL Practitioner - Podiatry 1456355098 Reassigns benefits to 1 organization

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
Medical Arts Associates, LTD.Group PAC ID 4385549377, 19 clinicians

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 100Reported as group
Quality
78.19
Promoting interoperability
0
Improvement activities
40
Cost
80.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue103
Removal of nail tissue800
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004885ILMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Associates, LTD. Foot Surgery CurrentSince Mar 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.