NPIMap

Individual provider Active NPI

Sherry A Reid, MD

  • Neurology Physician
  • Decatur, IL
National Provider Identifier
1104835412
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036143208 Issued in IL
Practice address
1770 E Lake Shore Dr Lowr LL1
Decatur, IL 62521-3832
Phone
(217) 464-1340
NPI assigned
Aug 5, 2006
Last updated
Jul 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036143208 IL Primary

Addresses

Primary practice location

1770 E Lake Shore Dr Lowr LL1
Decatur, IL 62521-3832

Mailing address

1770 E Lake Shore Dr Lowr LL1
Decatur, IL 62521-3832
Phone (217) 464-1340

Other identifiers 2

IdentifierTypeStateIssuer
0083878MedicaidMT
000098445OtherMTBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817004337 IL Practitioner - Neurology 8224923321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1770 E Lake Shore Dr
Suite 300
Decatur, IL 62521-3842
Phone (217) 422-0458

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Prairie, Inc CurrentSince Aug 14, 2017 Accepting new patients
HSHS Medical Group Inc CurrentSince Aug 14, 2017 Accepting new patients
HSHS Prairie, Inc Current Accepting new patients
Montana Neurobehavioral Specialists Neurology Past Accepting new patients
Southside Emergency Associates Past Accepting new patients
Frontier Neurosciences, LLC Neurology Past Accepting new patients
Major Hospital Past Accepting new patients
Intermountain Neurology PC Neurology PastSince Nov 17, 2004 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1770 E Lake Shore Dr
Ste 300
Decatur, IL 62521
Phone (217) 422-0458

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18779/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sreid207223@wm.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1104835412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR LOWR LL1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213832",
            "telephone_number": "217-464-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR LOWR LL1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213832",
            "telephone_number": "217-464-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "SHERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036143208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083878",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000098445",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.