Individual provider Active NPI

Scott Reed, M.D.

  • Family Medicine Physician
  • Pinehurst, ID
National Provider Identifier
1326090754
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8355 Issued in ID
Practice address
301 S Division St
Pinehurst, ID 83850-9767
Phone
(208) 682-9200
Fax
(208) 682-9300
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8355 ID Primary

Addresses

Primary practice location

301 S Division St
Pinehurst, ID 83850-9767

Mailing address

9 Main St Unit 894
Pinehurst, ID 83850-1435
Phone (208) 682-2707

Other identifiers 3

IdentifierTypeStateIssuer
806278400MedicaidID
080184721OtherIDRAILROAD MEDICARE
1185830001OtherIDMEDICARE DMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20040422001439 ID Practitioner - Family Practice 5991791105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 S Division St
Pinehurst, ID 83850-9767
Phone (208) 682-9200

Hospital & facility affiliations

  • Loving Care and More Home health agency, Silverton, ID, CCN 137074
  • Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Mountain Valley of Cascadia Nursing home, Kellogg, ID, CCN 135065
  • Silverton Health and Rehabilitation of Cascadia Nursing home, Silverton, ID, CCN 135058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8355IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a Reed MD PC Family Medicine CurrentSince Sep 11, 2011 Accepting new patients
Hanover Family Practice Associates, LLC Family Medicine PastSince Jul 6, 2020 Accepting new patients
Premier Emergency Physicians of Idaho Medical Group Past Accepting new patients

Locations

301 S Division St
Pinehurst, ID 83850
Phone (208) 682-2122

9 Main St
Unit 894
Pinehurst, ID 83850

Organizations & group practices 3

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 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1326090754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST UNIT 894",
            "city": "PINEHURST",
            "state": "ID",
            "postal_code": "838501435",
            "telephone_number": "208-682-2707",
            "fax_number": "208-682-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S DIVISION ST",
            "city": "PINEHURST",
            "state": "ID",
            "postal_code": "838509767",
            "telephone_number": "208-682-9200",
            "fax_number": "208-682-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806278400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080184721",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "1185830001",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, ID

Sources for this page

Verify at the official NPI Registry.