JACK REID
NPI 1639736093
Pathology - Anatomic Pathology & Clinical Pathology in Phoenix, AZ

Q: What is Jack Reid's NPI number?

The NPI number for Jack Reid is 1639736093. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Jack Reid's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Jack Reid was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2019PECOS Enrolled

1111 E MCDOWELL RD, PHOENIX, AZ 85006(480) 478-8057 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2024, May 21, 2019 (2 updates tracked since 2019).

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About Jack Reid NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK REID (NPI 1639736093) is an individual anatomic pathology & clinical pathology provider in Phoenix, Arizona, licensed in Arizona (71487) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1639736093

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameJACK REID

Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612

Mailing Address286 S Seneca Cir # 51Anaheim, CA 92805-3655

Phone(480) 478-8057

Sole ProprietorYes

Enumeration DateMay 21, 2019

Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration

NPPES CertifiedMarch 8, 2024

✔ NPI 1639736093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in AZ · 71487

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1111 E MCDOWELL RD, Phoenix, AZ 85006

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Secondary Practice Location 1

Location 1101 The City Dr SOrange, CA 92868-3201 · Phone (951) 662-8028

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Reid is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARRIE LYNN COOK D.O.

Emergency Medicine