Active NPI
Pauline Carvella Reed, M.D.
- Family Medicine Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101102766
- Practice address
- 940 General Booth Blvd
Suite a
Virginia Beach, VA 23451-4857 - Phone
- (757) 425-3610
- Fax
- (757) 422-3714
- NPI assigned
- Mar 9, 2006
- Last updated
- Feb 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101102766 | VA | Primary |
Addresses
Primary practice location
940 General Booth Blvd
Suite a
Virginia Beach, VA 23451-4857
Mailing address
940 General Booth Blvd
Suite a
Virginia Beach, VA 23451-4857
Phone (757) 425-3610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005624657 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- East Tennessee State University Quillen College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 N Witchduck Rd
Virginia Beach, VA 23462-6506
Phone (757) 385-2437
157 N Main St
Suite a
Suffolk, VA 23462-6506
Phone (757) 925-1866
4714 Marshall Ave
Newport News, VA 23607-2247
Phone (757) 380-8709
490 Liberty St
Suite C
Chesapeake, VA 23324-2618
Phone (757) 228-1288
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101102766 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Institute for Community Health Inc | Current | Accepting new patients | |
| Peninsula Institute for Community Health Inc | Current | Accepting new patients | |
| Peninsula Institute for Community Health Inc | Past | Accepting new patients | |
| Norton Community Physician Services LLC | Past | Accepting new patients | |
| Norton Community Physician Services LLC | Family Medicine | Past | Accepting new patients |
Locations
490 Liberty St
Chesapeake, VA 23324
Phone (757) 228-1288
1357 Armory Dr
Franklin, VA 23851
Phone (757) 304-5570
300 Medical Dr
Ste 400
Hampton, VA 23666
Phone (757) 788-0400
1033 28th St
Newport News, VA 23607
Phone (757) 591-0643
1033 28th St
Fl 2
Newport News, VA 23607
Phone (757) 591-0643
15425 Warwick Blvd
Ste H
Newport News, VA 23608
Phone (757) 874-8400
4714 Marshall Ave
Newport News, VA 23607
Phone (757) 380-8709
7401 Warwick Blvd
Newport News, VA 23607
Phone (757) 591-0643
9294 Warwick Blvd
Newport News, VA 23607
Phone (757) 223-7001
157 N Main St
Ste A
Suffolk, VA 23434
Phone (757) 925-1866
104 N Witchduck Rd
Virginia Beach, VA 23462
Phone (757) 385-2437
940 General Booth Blvd
Ste A
Virginia Beach, VA 23451
Phone (757) 425-3610
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGAFAA
- pauline.reed@sevhs.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
dba 48th Street Physicians
- Federally Qualified Health Center (FQHC)
- Newport News, VA
- NPI 1508999293
-
dba Hampton Newport News Community Services Board
- Federally Qualified Health Center (FQHC)
- Hampton, VA
- NPI 1528446507
-
- Internal Medicine Physician
- Pennington Gap, VA
- NPI 1841098175
-
- Internal Medicine Physician
- Norton, VA
- NPI 1861674160
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Newport News, VA
- NPI 1023088077
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Regional Medical Center
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
dba Sentara Careplex Hospital
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1306814173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 GENERAL BOOTH BLVD",
"address_2": "SUITE A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234514857",
"telephone_number": "757-425-3610",
"fax_number": "757-422-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 GENERAL BOOTH BLVD",
"address_2": "SUITE A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234514857",
"telephone_number": "757-425-3610",
"fax_number": "757-422-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "PAULINE",
"middle_name": "CARVELLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101102766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005624657",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.