Individual provider Active NPI

Walter Scott Reid, DO

  • Surgery Physician
  • Peoria, IL
National Provider Identifier
1932180387
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036095933 Issued in IL
Practice address
900 Main St
Suite 530
Peoria, IL 61602-1005
Phone
(309) 672-5975
Fax
(309) 655-1678
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036095933 IL
Surgery Physician 208600000X 036095933 IL Primary

Addresses

Primary practice location

900 Main St
Suite 530
Peoria, IL 61602-1005

Mailing address

900 Main St Ste 530
Peoria, IL 61602-5012
Phone (309) 672-5975

Other identifiers 1

IdentifierTypeStateIssuer
036095933MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050310000447 IL Practitioner - General SurgeryPractitioner - Pulmonary DiseasePractitioner - Vascular Surgery 9830177104 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of Il SCGroup PAC ID 9830377688, 20 clinicians

Practice addresses (Care Compare)

7370 W Talcott Ave
Chicago, IL 60631-3751
Phone (877) 866-7123

767 30TH St
Rock Island, IL 61201-1945
Phone (309) 788-7631

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue440
Removal of skin lesions27
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems Current Accepting new patients
Swedishamerican Hospital Current Accepting new patients
Swedishamerican Hospital CurrentSince Apr 22, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Nov 1, 2017 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Pekin Prohealth Inc CurrentSince Mar 1, 2018 Accepting new patients
Swedishamerican Hospital CurrentSince Apr 22, 2024 Accepting new patients
Vohra Wound Physicians of Il, S.C. Surgery CurrentSince Jul 28, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Nov 1, 2017 Accepting new patients
Proctor Health Systems CurrentSince Nov 1, 2017 Accepting new patients
Proctor Health Systems CurrentSince Nov 1, 2017 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

7370 W Talcott Ave
Chicago, IL 60631
Phone (312) 783-3348

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

900 Main St
Ste 530
Peoria, IL 61602
Phone (309) 642-6705

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

815 Main St
Ste A1
Peoria, IL 61602

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

1340 Charles St
Ste 200
Rockford, IL 61104
Phone (779) 696-8799

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2474/brand/3/csg/81/fhir/r4

Organizations & group practices 12

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1932180387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 530",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025012",
            "telephone_number": "309-672-5975",
            "fax_number": "309-655-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 530",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-672-5975",
            "fax_number": "309-655-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "WALTER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036095933",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036095933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095933",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.