Individual provider Active NPI

Mendel S Reid, MD

  • Surgery Physician
  • Columbus, OH
National Provider Identifier
1952488207
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-066220 Issued in OH
Practice address
1430 S High St
Columbus, OH 43207-1045
Phone
(419) 542-0940
Fax
(419) 542-0941
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-066220 OH Primary

Addresses

Primary practice location

1430 S High St
Columbus, OH 43207-1045

Mailing address

1430 S High St
Columbus, OH 43207
Phone (419) 542-0940

Other identifiers 1

IdentifierTypeStateIssuer
0964514MedicaidOH

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
I20070321000415 OH Practitioner - Family PracticePractitioner - General Surgery 2860382256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Surgery
Education
Michigan State University College of Human Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

1016 Sugarbush Dr
Ashland, OH 44805-9489
Phone (419) 903-0404

13916 Cedar Rd
University Heights, OH 44118-3204
Phone (216) 397-9000

175 Edgefield Blvd
Marion, OH 43302-7821
Phone (740) 751-6433

2180 Sean Dr
Suite 6B
Fremont, OH 43420-8579
Phone (419) 355-8343

2562 W Market St
Tiffin, OH 44883-9005
Phone (567) 938-8008

3439 Ctr Rd
Brunswick, OH 44212-3688
Phone (330) 741-4029

3530 Westgate Mall
Suite D 432
Fairview Park, OH 44126-1300
Phone (440) 356-4265

4135 Tuscarawas St W
Canton, OH 44708-5463
Phone (330) 546-0913

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-066220OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Oct 1, 2018 Accepting new patients
Incare Health Solutions, LLC CurrentSince Oct 1, 2018 Accepting new patients
Medcentral Professional Association Inc. Past Accepting new patients
Mansfield Cardiology and Internists, Inc. PastSince Oct 23, 2000 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bucyrus Community Hospital LLC Past Accepting new patients

Locations

1430 S High St
Columbus, OH 43207
Phone (614) 255-6930

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 6

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1952488207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43207",
            "telephone_number": "419-542-0940",
            "fax_number": "419-542-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071045",
            "telephone_number": "419-542-0940",
            "fax_number": "419-542-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MENDEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-066220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0964514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.