Individual provider Active NPI

David Paul Reed, D.O.

  • Colon & Rectal Surgery Physician
  • Dublin, OH
National Provider Identifier
1811198583
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
34009253 Issued in OH
Practice address
4925 Bradenton Ave Ste C
Dublin, OH 43017-7532
Phone
(614) 921-8686
Fax
(614) 921-8696
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 34009253 OH Primary

Addresses

Primary practice location

4925 Bradenton Ave Ste C
Dublin, OH 43017-7532

Mailing address

4925 Bradenton Ave Ste C
Dublin, OH 43017-7532
Phone (614) 921-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080806000428 OH Practitioner - Colorectal Surgery (Proctology) 8729152913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4925 Bradenton Ave
Suite C
Dublin, OH 43017-7532
Phone (614) 921-8686

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34009253OHMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorectal Specialists LLC Colon & Rectal Surgery CurrentSince Apr 1, 2009 Accepting new patients
KJB Proctology, LLC Colon & Rectal Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4925 Bradenton Ave
Ste C
Dublin, OH 43017
Phone (614) 336-7666

5580 Hilliard Rome Office Park
Hilliard, OH 43026
Phone (614) 921-8686

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.

Hospital & facility affiliations 3

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1811198583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 BRADENTON AVE STE C",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177532",
            "telephone_number": "614-921-8686",
            "fax_number": "614-921-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 BRADENTON AVE STE C",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177532",
            "telephone_number": "614-921-8686",
            "fax_number": "614-921-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "34009253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.