Active NPI
Reginald Kai Mason, MD
- Surgery Physician
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036169863
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 HospitalOsf Multi-Specialty GroupVidant Medical Group LLC
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
- Christus St Vincent Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 41 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Hospital | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Surgery | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| St. Vincent Hospital | Surgery | Current | 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 | Current | Accepting new patients | |
| Buchanan Health Care LLC | Current | Accepting new patients | |
| Dominion Health Medical Assoc | Current | Accepting new patients | |
| Dominion Health Medical Assoc | Current | 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
- mreginald626972@christushealth.direct-ci.net
- 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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
Surgery, VA
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
-
- Community/Retail Pharmacy
- Santa Fe, NM
- NPI 1144689514
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Santa Fe, NM
- NPI 1508403528
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- Psychiatric Hospital Unit
- Santa Fe, NM
- NPI 1154477941
-
- Specialty Pharmacy
- Santa Fe, NM
- NPI 1366980427
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.