Individual provider Active NPI

Mary Kathleen Reid

  • Obstetrics & Gynecology Physician
  • Milford, MI
National Provider Identifier
1205490224
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301509335 Issued in MI
Practice address
1501 N Milford Rd Ste 200
Milford, MI 48381-1049
Phone
(248) 685-0444
Fax
(248) 684-0900
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 4301509335 MI Primary

Addresses

Primary practice location

1501 N Milford Rd Ste 200
Milford, MI 48381-1049

Mailing address

PO Box 18998
Belfast, ME 04915-4084
Phone (469) 803-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728001986 MI Practitioner - Obstetrics/Gynecology 5698009579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201

3901 Beaubien 1St Floor
Detroit, MI 48201-2119
Phone (313) 745-5227

3901 Beaubien St
Detroit, MI 48201-2119

9640 Commerce Rd
Suite 200
Commerce Township, MI 48382-4168
Phone (248) 366-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301509335MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince May 24, 2023 Accepting new patients
University Physician Group Obstetrics & Gynecology Past Accepting new patients
VHS Huron Valley-Sinai Hospital Inc Past Accepting new patients
Milford Obstetrics & Gynecology P C Obstetrics & Gynecology PastSince Mar 11, 2025 Accepting new patients

Locations

9640 Commerce Rd
Ste 200
Commerce Twp, MI 48382
Phone (248) 366-0100

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3990 John R St
#7
Detroit, MI 48201
Phone (313) 745-7555

1181 N Milford Rd
Ste 100
Milford, MI 48381
Phone (248) 685-0444

1501 N Milford Rd
Ste 200
Milford, MI 48381
Phone (248) 676-2080

Interoperability endpoints

  • Direct secure messaging: mary.reid.1@9704.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1205490224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18998",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "469-803-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MILFORD RD STE 200",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811049",
            "telephone_number": "248-685-0444",
            "fax_number": "248-684-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301509335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.