Individual provider Active NPI

Ann E Reid, PAC

  • Family Medicine Physician
  • Sumner, IA
National Provider Identifier
1730175613
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1115 Issued in IA
Practice address
909 W 1St St
Sumner, IA 50674-1203
Phone
(563) 578-3279
Fax
(563) 578-3279
NPI assigned
Sep 26, 2005
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1115 IA Primary

Addresses

Primary practice location

909 W 1St St
Sumner, IA 50674-1203

Mailing address

PO Box 148
909 West First Street
Sumner, IA 50674-0148
Phone (563) 578-3275

Other identifiers 1

IdentifierTypeStateIssuer
970031149OtherIARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20070904000452 IA Practitioner - Physician Assistant 0648235804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Community ClubGroup PAC ID 5890607691, 11 clinicians

Practice addresses (Care Compare)

909 W 1St St
Sumner, IA 50674-1203
Phone (563) 578-3275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1115IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Sep 26, 2017 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Sep 26, 2017 Accepting new patients
Sumner Community Club Family Medicine CurrentSince Nov 7, 2023 Accepting new patients
Sumner Community Club Family Medicine CurrentSince Nov 7, 2023 Accepting new patients

Locations

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

Organizations & group practices 5

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 1

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1730175613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "address_2": "909 WEST FIRST STREET",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506740148",
            "telephone_number": "563-578-3275",
            "fax_number": "563-578-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W 1ST ST",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506741203",
            "telephone_number": "563-578-3279",
            "fax_number": "563-578-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ANN",
        "middle_name": "E",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970031149",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, IA

Sources for this page

Verify at the official NPI Registry.