Individual provider Active NPI

Peter Jeffrey Reed, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1801025630
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
005940 Issued in AZ
Practice address
14045 N 7TH St
Suite 3
Phoenix, AZ 85022-4387
Phone
(602) 795-5505
Fax
(602) 795-9277
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL18366 OR
Family Medicine Physician 207Q00000X 005940 AZ Primary

Addresses

Primary practice location

14045 N 7TH St
Suite 3
Phoenix, AZ 85022-4387

Mailing address

14045 N 7TH St
Suite 3
Phoenix, AZ 85022-4387
Phone (602) 795-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20121130000554 AZ Practitioner - Family Practice 3577730035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peter J Reed DO PCGroup PAC ID 8820243918, 2 clinicians

Practice addresses (Care Compare)

14045 N 7TH St
Suite 3
Phoenix, AZ 85022-4387
Phone (602) 795-5505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL18366ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J Reed DO PC CurrentSince Nov 7, 2012 Accepting new patients
19TH Avenue Clinic LLC PastSince Dec 16, 2012 Accepting new patients
Bridgeport Family Medical Center S.C. Family Medicine Past Accepting new patients

Locations

14045 N 7th St
Ste 3
Phoenix, AZ 85022
Phone (602) 795-5505

Interoperability endpoints

  • Direct secure messaging: peter.reed.1@22892.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1801025630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST",
            "address_2": "SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224387",
            "telephone_number": "602-795-5505",
            "fax_number": "602-795-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST",
            "address_2": "SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224387",
            "telephone_number": "602-795-5505",
            "fax_number": "602-795-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "PETER",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "LL18366",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.