Michael Ray Reed, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07247 Issued in TX

Practice address

1919 Rogers Rd
Suite 104
San Antonio, TX 78251

Phone

(210) 541-0700

Fax

(210) 541-6868

NPI assigned

May 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

William a. Tisdall, M.D., P.a.Group PAC ID 2860517877, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medina Regional Hospital Hospital, Hondo, TX, CCN 451330

Merit-based Incentive Payment System (MIPS)

Final score

89.65 of 100Reported as group

Quality

95

Improvement activities

40

Cost

72.16

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• William a. Tisdall, M.D., P.a.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1598085243
  Medicare reassignment Care Compare group
• William a. Tisdall, M.D., P.a.

  • Interventional Pain Medicine Physician
  • Schertz, TX
  • NPI 1083126742
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medina County Hospital District

  • Critical Access Hospital
  • Hondo, TX
  • NPI 1427048453
  Care Compare affiliation

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1508158734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 ROGERS RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514614",
            "telephone_number": "210-541-0700",
            "fax_number": "210-541-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ROGERS RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-541-0700",
            "fax_number": "210-541-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 S Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891131793",
            "country_code": "US",
            "telephone_number": "702-562-3039",
            "fax_number": "702-272-1687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1274",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0217",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371865201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Reed, SLP
• Lee Bruce Reed
• Lori Reed
• Lyssa Arrais Reed, D.D.S.
• Marquica Renea Reed
• Natascha Elizabeth Reed
• Nathaniel Clyde Reed
• Shemeka Reed
• Victoria Reed, PA-C
• Ian Michael Reeder

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.

Verify at the official NPI Registry.