Robert Paul Reid, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0024755 Issued in CO

Practice address

1101 County Rd 1
Cripple Creek, CO 80813

Phone

(303) 330-0271

Fax

(303) 330-0371

NPI assigned

Feb 9, 2006

Last updated

Aug 9, 2018By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26269/brand/1/csg/1/fhir/r4
• Direct secure messaging: robert.reid.1@26269.direct.athenahealth.com

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.

• Lykos Medical LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1215423124
  Medicare reassignment NPD
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment NPD
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• MWS Wound Solutions LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1184482952
  NPD (past)
• Advanced Pediatric Specialists LLC

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1073046397
  NPD (past)
• Amelia Urgent Care LLC

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1982844163
  NPD (past)
• Emergency Physicians Inc

  dba Emergency Resources Group

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1285686675
  NPD (past)
• Emergency Physicians Inc

  dba Emergency Resource Group

  • Emergency Medicine Physician
  • Brunswick, GA
  • NPI 1477001972
  NPD (past)
• Georgia Emergency Associates

  • Emergency Medicine Physician
  • Rincon, GA
  • NPI 1528098290
  NPD (past)
• University of Florida Jacksonville Physicians, Inc.

  • Family Medicine Physician
  • Yulee, FL
  • NPI 1518126168
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1306819453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 COUNTY RD 1",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "80813",
            "telephone_number": "303-330-0271",
            "fax_number": "303-330-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 COUNTY RD 1",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "80813",
            "telephone_number": "303-330-0271",
            "fax_number": "303-330-0371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 Second St S",
            "address_purpose": "LOCATION",
            "city": "Folkston",
            "state": "GA",
            "postal_code": "315378447",
            "country_code": "US",
            "telephone_number": "912-496-0041",
            "fax_number": "912-496-0053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4010 Regency Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064382",
            "country_code": "US",
            "telephone_number": "303-330-0271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72889",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0024755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000842047F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536366-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peak Vista Community Health Centers
• Alicia Nicole Petri
• Pickett Psychological Services, LLC
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Premier Rural Family Medical & Dental Care, LLC
• Root Groove, PLLC (Gold Rush Dental)
• Jill Elaine Saylor, FNP-BC, NP-C
• Southern Teller County Health Services District (Cripple Creek Home Health Care)
• Southern Teller County Health Services District (Cripple Creek Care Center)
• Southwest Teller County Emergency Medical Services

• Family Medicine Physician in Cripple Creek, CO
• Providers in Cripple Creek, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.