Individual provider Active NPI

John Michael Reid, MD

  • Obstetrics & Gynecology Physician
  • Evansville, IN
National Provider Identifier
1376527200
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
IN01035005 Issued in IN
Practice address
3700 Bellemeade Ave Ste 121
Evansville, IN 47714-0106
Phone
(812) 475-8975
Fax
(812) 471-8322
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X IN01035005 IN Primary

Addresses

Primary practice location

3700 Bellemeade Ave Ste 121
Evansville, IN 47714-0106

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other practice location 1

4727 Rosebud Ln Ste D
Newburgh, IN 47630-9367
Phone (812) 475-8975

Other identifiers 1

IdentifierTypeStateIssuer
100248450AMedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dhs@direct.deaconess.com Direct
Direct Messaging Address dhs@direct.deaconess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050204000481 IN Practitioner - Obstetrics/Gynecology 7315998515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319

1140 Washington SQ
Evansville, IN 47715-6809
Phone (812) 475-8975

3700 Bellemeade Ave
Suite 121
Evansville, IN 47714-0106
Phone (812) 475-8975

4727 Rosebud LN D
Newburgh, IN 47630-9367

PO Box
Suite 3276
Evansville, IN 47731

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IN01035005INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agape OBGYN PC Obstetrics & Gynecology CurrentSince Jan 1, 2000 Accepting new patients

Locations

3700 Bellemeade Ave
Ste 12
Evansville, IN 47714
Phone (812) 475-8975

801 Saint Marys Dr
Ste 201E
Evansville, IN 47714
Phone (812) 475-8975

3700 Bellemeade Ave
Ste 121
Evansville, IN 47714
Phone (812) 475-8975

1140 Washington Sq
Evansville, IN 47715
Phone (812) 475-8975

4727 Rosebud Ln
Ste D
Newburgh, IN 47630
Phone (812) 475-8975

Interoperability endpoints

  • Direct secure messaging: jreid33297@direct.deaconess.com

Organizations & group practices 2

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 2

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1376527200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AVE STE 121",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140106",
            "telephone_number": "812-475-8975",
            "fax_number": "812-471-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4727 Rosebud Ln Ste D",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476309367",
            "country_code": "US",
            "telephone_number": "812-475-8975",
            "fax_number": "812-471-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "IN01035005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100248450A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4727 Rosebud Ln Ste D",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476309367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4727 Rosebud Ln Ste D",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476309367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.