Kevin Christopher Reid, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110007679 Issued in VA

Practice address

2296 Opitz Blvd Ste 350
Woodbridge, VA 22191-3346

Phone

(703) 680-2111

Fax

(703) 878-3939

NPI assigned

Apr 28, 2020

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA, KY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Potomac Urology Center, LLCGroup PAC ID 1557329406, 17 clinicians

Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
• Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
• Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 28kreid@cfaortho.emadirect.md

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.

• Gastrointestinal Specialists LLC

  • Urology Physician
  • Woodbridge, VA
  • NPI 1861588592

  DC

  Medicare reassignment Care Compare group NPD
• Gastrointestinal Specialists LLC

  • Gastroenterology Physician
  • Richmond, VA
  • NPI 1063516672

  DC

  Medicare reassignment Care Compare group
• Dr. Nair Internal Medicine, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1063554608
  Medicare reassignment
• Inderjit Singh MD PC

  • Urology Physician
  • Woodbridge, VA
  • NPI 1801812847
  NPD (past)
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  NPD (past)

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

• Inova Health Care Services

  dba Inova Alexandria Hospital

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1255684460
  Care Compare affiliation
• Inova Health Care Services

  dba Inova Mount Vernon Hospital

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1922139120
  Care Compare affiliation
• Potomac Hospital Corporation of Prince William

  dba Sentara Northern Virginia Medical Center

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  Care Compare affiliation

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1114548492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508726",
            "telephone_number": "301-251-1433",
            "fax_number": "301-424-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD STE 350",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913346",
            "telephone_number": "703-680-2111",
            "fax_number": "703-878-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14995 Shady Grove Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208508726",
            "country_code": "US",
            "telephone_number": "301-251-1433",
            "fax_number": "301-424-5266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 National Harbor Blvd Ste 400B",
            "address_purpose": "LOCATION",
            "city": "National Harbor",
            "state": "MD",
            "postal_code": "207451052",
            "country_code": "US",
            "telephone_number": "703-680-2111",
            "fax_number": "703-878-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "KEVIN",
        "middle_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07941",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dekiegai Eleazer Reeves
• Regina M Burton MD PC
• Regnal Health LLC
• Lynda Z Reha, DPT
• William C. Reha, MD
• Tianna Reid
• Brenna Elizabeth Reilly, DPT
• Jenniffer Lynn Reis, FNP
• Michael R Reitz, DO
• Reliance Care Services LLC

• Physician Assistant in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.

Verify at the official NPI Registry.