Individual provider Active NPI

Reginald Kai Mason, MD

  • Surgery Physician
  • Alton, IL
National Provider Identifier
1699739607
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036169863 Issued in IL
Practice address
2 Saint Anthonys Way Ste 105
Alton, IL 62002-4580
Phone
(618) 465-2761
Fax
(618) 465-4750
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101236379 VA
Surgery Physician 208600000X 036169863 IL Primary
Surgery Physician 208600000X 2021-03370 NC

Addresses

Primary practice location

2 Saint Anthonys Way Ste 105
Alton, IL 62002-4580

Mailing address

PO Box 1187
Dunnsville, VA 22454-1187
Phone (804) 445-4643

Other practice location 1

500 Academy St S
Ahoskie, NC 27910-3248
Phone (804) 445-4643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL, NC, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040930001188 VA Practitioner - General Surgery 2365411873 Reassigns benefits to 3 organizations
I20240605001765 IL Practitioner - General Surgery 2365411873 Reassigns benefits to 1 organization
I20250828004858 NC Practitioner - General Surgery 2365411873 Reassigns benefits to 1 organization
I20260122004273 NM Practitioner - General Surgery 2365411873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

1631 Hospital Dr
Suite 112
Santa Fe, NM 87505-4728
Phone (505) 913-4780

1631 Hospital Dr
Suite 240
Santa Fe, NM 87505-7691
Phone (505) 982-5014

2 Saint Anthonys Way
Suite 105
Alton, IL 62002-4580
Phone (618) 465-2761

433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232

445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

700 Academy St S
Ahoskie, NC 27910-3264
Phone (252) 209-5404

Hospital & facility affiliations

  • Osf Saint Anthony'S Health Center Hospital, Alton, IL, CCN 140052
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy41
Upper gastrointestinal (GI) endoscopy for acid reflux38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital CurrentSince Dec 16, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Surgery CurrentSince Aug 1, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 28, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince May 22, 2024 Accepting new patients
St. Vincent Hospital Surgery CurrentSince Dec 16, 2025 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Aug 1, 2024 Accepting new patients
Buchanan Health Care LLC CurrentSince Mar 1, 2022 Accepting new patients
Dominion Health Medical Assoc CurrentSince Mar 14, 2022 Accepting new patients
Dominion Health Medical Assoc CurrentSince Mar 14, 2022 Accepting new patients

Locations

2 Saint Anthonys Way
Ste 305
Alton, IL 62002
Phone (618) 462-2222

2 Saint Anthonys Way
Ste 105
Alton, IL 62002
Phone (618) 465-2761

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

700 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3614

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1631 Hospital Dr
Ste 240
Santa Fe, NM 87505
Phone (505) 913-3975

1532 Slate Creek Rd
#204
Grundy, VA 24614
Phone (276) 935-1167

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

2232 Wilborn Ave
Ste C
South Boston, VA 24592
Phone (434) 517-3910

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

Interoperability endpoints

  • Direct secure messaging: mreginald626972@christushealth.direct-ci.net
  • Direct secure messaging: rmason104694@capefearvalley.direct-ci.com

Organizations & group practices 21

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 21

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1699739607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "DUNNSVILLE",
            "state": "VA",
            "postal_code": "224541187",
            "telephone_number": "804-445-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT ANTHONYS WAY STE 105",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024580",
            "telephone_number": "618-465-2761",
            "fax_number": "618-465-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Academy St S",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279103248",
            "country_code": "US",
            "telephone_number": "804-445-4643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "REGINALD",
        "middle_name": "KAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101236379",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036169863",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2021-03370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.