Individual provider Active NPI

Douglas Reeve, PA

  • Physician Assistant
  • Christiansburg, VA
National Provider Identifier
1629114103
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0850026626 Issued in IL
Practice address
120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone
(540) 382-3440
Fax
(540) 382-7240
NPI assigned
Jan 30, 2007
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0850026626 IL Primary

Addresses

Primary practice location

120 Akers Farm Rd
Christiansburg, VA 24073-4863

Mailing address

120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-3440

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dreeve77472@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20160711001231 VA Practitioner - Physician Assistant 8527049105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0850026626ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Urological Associates, Inc Past Accepting new patients
TST Medical, P.a. Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Sterling Emergency Services of the Southeast, Inc Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dreeve77472@direct.carilionclinic.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1629114103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734863",
            "telephone_number": "540-382-3440",
            "fax_number": "540-382-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734863",
            "telephone_number": "540-382-3440",
            "fax_number": "540-382-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVE",
        "first_name": "DOUGLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "0850026626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dreeve77472@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "dreeve77472@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Akers Farm Rd",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240734863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.