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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Reid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathology Specialist Of Arizona, LLP
5.7 mi
Anatomic Pathology & Clinical Pathology
424 S 56TH ST STE 120
Phoenix, AZ 85034
  • Reassigned Medicare billing, Arizona enrollment
  • 110 clinicians in this Medicare group
NPI 1174503999 (602) 685-5166

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (480) 500-2540
DANA ARCHBOLD MD
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2296
ROBIN LAURIE MCFARLANE MD
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2266
ERICA KRIS MD
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2000
MS. MEREDITH ELIZABETH GATES PA
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2000
ALEXANDRA LEIGH KLEBER ARNP
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (812) 525-4607
RACHEL SCHWARZ PA
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-6968
CRAIG ALAN WESTLEY
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006
Maricopa County (602) 839-4556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jack Reid located?

Jack Reid practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (480) 478-8057.

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.

Is Jack Reid enrolled in Medicare?

Yes. Jack Reid is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Reid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Reid reassigns Medicare benefits to Pathology Specialist Of Arizona, LLP (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Reid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Reid accept?

Health plans from Blue Cross Blue Shield of Arizona list Jack Reid as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.