Active NPI
Reginald Douglas Wills, M.D.
- Adult Medicine Physician
- Washington, DC
National Provider Identifier
1124151683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- MD8436
- Practice address
- 1263 Evarts St NE
Washington, DC 20018-3710 - Phone
- (202) 635-1600
- Fax
- (202) 529-4425
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | MD8436 | DC | Primary |
Addresses
Primary practice location
1263 Evarts St NE
Washington, DC 20018-3710
Mailing address
1263 Evarts St NE
Washington, DC 20018-3710
Phone (202) 635-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124151683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 EVARTS ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200183710",
"telephone_number": "202-635-1600",
"fax_number": "202-529-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 EVARTS ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200183710",
"telephone_number": "202-635-1600",
"fax_number": "202-529-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "REGINALD",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "DC",
"license": "MD8436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.