DR. REGINALD DOUGLAS WILLS M.D. NPI 1124151683

NPI Information

NPI: 1124151683
Provider Name: DR. REGINALD DOUGLAS WILLS, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
1263 EVARTS ST NE
WASHINGTON, DC
ZIP 20018
Phone: (202) 635-1600
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DR. Reginald Douglas Wills, M.D. is an adult medicine family medicine in Washington, DC. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Reginald Douglas Wills, M.D. NPI is 1124151683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1263 EVARTS ST NE
WASHINGTON, DC
ZIP 20018-710
Phone: (202) 635-1600
Fax: (202) 529-4425

The NPI 1124151683 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	MD8436	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C62510	MEDICARE UPIN	DISTRICT OF COLUMBIA
2	407786	MEDICARE ID-TYPE UNSPECIFIED	DISTRICT OF COLUMBIA	MEDICARE ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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