Individual provider Active NPI

Richard J Reed, MD

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1437123742
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01057163A Issued in IN
Practice address
3903 S 7TH St
Suite 2F
Terre Haute, IN 47802-5710
Phone
(812) 234-5400
Fax
(812) 234-5420
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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 01057163A IN Primary

Addresses

Primary practice location

3903 S 7TH St
Suite 2F
Terre Haute, IN 47802-5710

Mailing address

5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6017
Phone (904) 446-3451

Other identifiers 1

IdentifierTypeStateIssuer
200424060MedicaidIN

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
I20080722000382 IN Practitioner - Family Practice 5890868012 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057163AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Indiana, LLC Family Medicine CurrentSince Nov 16, 2015 Accepting new patients
Regional Hospital Healthcare Partners LLC CurrentSince Jan 1, 2010 Accepting new patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients
Family Medicine of Terre Haute, LLC Family Medicine Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1907 W Sycamore St
Ste 300
Kokomo, IN 46901
Phone (765) 236-8888

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

3903 S 7th St
Ste 2F
Terre Haute, IN 47802
Phone (812) 232-9596

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1437123742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "904-446-3451",
            "fax_number": "904-446-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 S 7TH ST",
            "address_2": "SUITE 2F",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025710",
            "telephone_number": "812-234-5400",
            "fax_number": "812-234-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057163A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200424060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.