Individual provider Active NPI

William C. Reha, MD

  • Urology Physician
  • Woodbridge, VA
National Provider Identifier
1689632960
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101034939 Issued in VA
Practice address
2296 Opitz Blvd
#220
Woodbridge, VA 22191
Phone
(703) 670-5107
Fax
(703) 670-8435
NPI assigned
May 3, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101034939 VA Primary

Addresses

Primary practice location

2296 Opitz Blvd
#220
Woodbridge, VA 22191

Mailing address

2296 Opitz Blvd Ste 220
Woodbridge, VA 22191-3352
Phone (703) 670-5107

Other identifiers 3

IdentifierTypeStateIssuer
007533390MedicaidVA
76950001OtherMDCAREFIRST BCBS
047717OtherVAANTHEM BCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000905 VA Practitioner - Urology 3577734342 Practice locations: Woodbridge, VA

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2296 Opitz Blvd
Suite 220
Woodbridge, VA 22191-3352
Phone (703) 670-5107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101034939VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William C Reha MD Urology PastSince Nov 19, 1987 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.reha.1@18665.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1689632960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD STE 220",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913352",
            "telephone_number": "703-670-5107",
            "fax_number": "703-670-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD",
            "address_2": "#220",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-670-5107",
            "fax_number": "703-670-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHA",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101034939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007533390",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "76950001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "047717",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.