Terrence J Reidy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14155 Issued in WV

Practice address

1948 Wiltshire Rd Ste 1
Kearneysville, WV 25430-0010

Phone

(304) 728-8416

Fax

(304) 728-3319

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Hematology/OncologyAlso: Hospice/Palliative Care, Internal Medicine

Education

Loyola University of Chicago, Stritch School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Jefferson County Board of Health

  • Public Health or Welfare Agency
  • Kearneysville, WV
  • NPI 1417037532

  WV

  Medicare reassignment NPD Authorized official
• Berkeley -Morgan County Board of Health

  • Public Health or Welfare Agency
  • Martinsburg, WV
  • NPI 1265606743

  WV

  Medicare reassignment NPD
• Jefferson County Board of Health

  • Licensed Practical Nurse
  • Kearneysville, WV
  • NPI 1598108359

  WV

  Medicare reassignment NPD
• University Healthcare Physicians, Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1659625739

  Internal Medicine, WV

  Medicare reassignment NPD
• University Healthcare Physicians Inc

  • Anesthesiology Physician
  • Martinsburg, WV
  • NPI 1417371329
  NPD
• Shenandoah Valley Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Inwood, WV
  • NPI 1881893550
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1568186153
  NPD (past)
• University Healthcare Physicians, Inc.

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1982311353
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winchester, VA
  • NPI 1023217452
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1811990641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 WILTSHIRE RD STE 1",
            "city": "KEARNEYSVILLE",
            "state": "WV",
            "postal_code": "254300010",
            "telephone_number": "304-728-8416",
            "fax_number": "304-728-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 WILTSHIRE RD STE 1",
            "city": "KEARNEYSVILLE",
            "state": "WV",
            "postal_code": "254300010",
            "telephone_number": "304-728-8416",
            "fax_number": "304-728-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "TERRENCE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "14155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084535000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pai Medical WV PLLC
• Jeremy Luke Pevahouse
• Angel Marie Prescott
• Stephanie Purdy
• Pursuecare WV PLLC
• Renovo Center LLC
• Renovo Center LLC
• Karen Lynn Reyes, CLD
• Ryneal Fire Company #1
• Amy Michelle Scott, LPC-R

• All providers in Kearneysville, WV
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.

Verify at the official NPI Registry.