Active NPI
Chad David Reaves, DO
- Internal Medicine Physician
- Fairhope, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO.1567
- Practice address
- 188 Hospital Dr Ste 402
Fairhope, AL 36532-2018 - Phone
- (251) 990-1740
- Fax
- (251) 990-1831
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO.1567 | AL | Primary |
| Physician Assistant | 363A00000X | PA-463 | AL |
Addresses
Primary practice location
188 Hospital Dr Ste 402
Fairhope, AL 36532-2018
Mailing address
PO Box 2867
Mobile, AL 36652-2867
Phone (251) 690-8158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512-04537 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-7289
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 435-7289
Hospital & facility affiliations
- Thomas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1567 | AL | MD | Internal Medicine Physician |
| PA-463 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Park OBGYN PC | Current | Accepting new patients | |
| Imc-Hospitalists LLC | Current | Accepting new patients | |
| Inpatient Consultants of Alabama, Inc | Internal Medicine | Current | Accepting new patients |
| Gulf Health Hospitals, Inc | Past | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients |
Locations
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
150 S Ingleside St
#6
Fairhope, AL 36532
Phone (251) 928-1222
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
Interoperability endpoints
- creaves70986@directinfirmaryhealth.org
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Mobile, AL
- NPI 1669824934
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1235238916
-
- Obstetrics & Gynecology Physician
- Fairhope, AL
- NPI 1447291190
-
- General Acute Care Hospital
- Fairhope, AL
- NPI 1447303227
-
- Neurological Surgery Physician
- Pensacola, FL
- NPI 1902857352
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairhope, AL
- NPI 1447303227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1356447528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2867",
"city": "MOBILE",
"state": "AL",
"postal_code": "366522867",
"telephone_number": "251-690-8158",
"fax_number": "251-690-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 HOSPITAL DR STE 402",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322018",
"telephone_number": "251-990-1740",
"fax_number": "251-990-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAVES",
"first_name": "CHAD",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "DO.1567",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA-463",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "512-04537",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.