Active NPI
John Michael Reid, MD
- Obstetrics & Gynecology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- IN01035005
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100248450A | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN01035005 | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape OBGYN PC | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Evansville, IN
- NPI 1023351467
-
- Obstetrics & Gynecology Physician
- Evansville, IN
- NPI 1811232218
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.