Individual provider Active NPI

Thomas Kevin Reid, M.D.

  • Ophthalmology Physician
  • Bishop, CA
National Provider Identifier
1871530907
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A54353 Issued in CA
Practice address
157 Pioneer LN
Bishop, CA 93514-2557
Phone
(760) 873-8686
Fax
(760) 873-5507
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A54353 CA Primary

Addresses

Primary practice location

157 Pioneer LN
Bishop, CA 93514-2557

Mailing address

157 Pioneer LN
Bishop, CA 93514-2557
Phone (760) 873-8686

Other identifiers 1

IdentifierTypeStateIssuer
00A543530MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070227000596 CA Practitioner - Ophthalmology 2769584473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

157 Pioneer LN
Bishop, CA 93514-2557
Phone (760) 873-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.6 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54353CAMDPharmacist
A54353CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas K. Reid, M.D., Prof. Corp. Ophthalmology CurrentSince May 1, 1995 Accepting new patients
Northern Inyo Healthcare District Past Accepting new patients

Locations

157 Pioneer Ln
Bishop, CA 93514
Phone (760) 872-1606

214 W Line St
Ste C
Bishop, CA 93514
Phone (619) 873-8686

Organizations & group practices 2

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 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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1871530907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PIONEER LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142557",
            "telephone_number": "760-873-8686",
            "fax_number": "760-873-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PIONEER LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142557",
            "telephone_number": "760-873-8686",
            "fax_number": "760-873-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "THOMAS",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A54353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A543530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.