NPIMap

Individual provider Active NPI

Russell Joseph Reed, M.D.

  • Cardiovascular Disease Physician
  • Covington, LA
National Provider Identifier
1487852034
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
310107 Issued in LA
Practice address
1006 S Harrison St
Covington, LA 70433
Phone
(985) 871-4140
Fax
(985) 871-4150
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20641 MS
Interventional Cardiology Physician 207RI0011X 20641 MS
Cardiovascular Disease Physician 207RC0000X 310107 LA Primary

Addresses

Primary practice location

1006 S Harrison St
Covington, LA 70433

Mailing address

1006 S Harrison St
Covington, LA 70433-3661
Phone (985) 871-4140

Other practice location 1

520 Willowbrook Rd
Columbus, MS 39705-2015
Phone (662) 240-1412

Other identifiers 3

IdentifierTypeStateIssuer
9861743OtherMSAETNA
3403187OtherMSUNITED HEALTHCARE
4690615OtherMSCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110726000695 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638347214 Reassigns benefits to 2 organizations
I20180801002489 LA Practitioner - Interventional Cardiology 9638347214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Tammany Parish Hospital Service District No 1Group PAC ID 0749273761, 162 clinicians
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

1006 S Harrison St
Cardiovascular Clinic
Covington, LA 70433-3630
Phone (985) 871-4140

2520 5TH St N
Columbus, MS 39705-2008
Phone (662) 244-2042

255 Baptist Blvd
Columbus, MS 39705-2006

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Riverside Medical Center Hospital, Franklinton, LA, CCN 191313
  • Avala Hospital, Covington, LA, CCN 190267

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ms Heart Center,PA Cardiovascular Disease Current Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Aug 1, 2018 Accepting new patients
Southern Ms Heart Center,PA Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients

Locations

1006 S Harrison St
Covington, LA 70433
Phone (985) 845-9000

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

3704 Bienville Blvd
#B
Ocean Springs, MS 39564
Phone (228) 872-4040

4300 Hospital St
Ste 102
Pascagoula, MS 39581
Phone (228) 372-8270

Interoperability endpoints

  • Direct secure messaging: rreed14165@direct.bmhcc.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 12

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1487852034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 S HARRISON ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333661",
            "telephone_number": "985-871-4140",
            "fax_number": "985-871-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S HARRISON ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-871-4140",
            "fax_number": "985-871-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052015",
            "country_code": "US",
            "telephone_number": "662-240-1412",
            "fax_number": "662-240-1949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "RUSSELL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "20641",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "20641",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "310107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9861743",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3403187",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4690615",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.