DR. STEPHEN J. REIDY (M.D.) – Anesthesiology Physician, NPI 1417973124

DR. STEPHEN J. REIDY (M.D.) is a healthcare provider. based in Van nuys, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. G81452 (CA). The NPI Number for DR. STEPHEN J. REIDY (M.D.) is 1417973124

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN J. REIDY (M.D.)
NPI
1417973124
Phone
(805) 578-8300
Address
PO BOX 10076
Enumeration Date
14 July 2006
Last Update Date
1 April 2008

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8089323000
Graduation Year
1993 (33 years ago)
PAC ID
4587564703
Group Practice PAC ID
1254422900
Professional Enrollment ID
I20191011002676
Address ID
HI967202089HI1190XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for DR. STEPHEN J. REIDY (M.D.)

  • PO BOX 10076

    VAN NUYS, CA 914100076

    Phone: (805) 578-8300

    Fax: (805) 578-8950

    Type: Mailing

  • Los Robles Regional Medical Center Medical Staff Library, 215, West Janss Road, Thousand Oaks, Ventura County, California, 91360, United States

    THOUSAND OAKS, CA 913601847

    Phone: (805) 370-4521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Abbott Laboratories ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050810000680IAnesthesiologyCATBD
I20191011002676IAnesthesiologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1212$0
View full utilization report →

Insurance plans in this area (ZIP 91410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254422900View full group profile
NameSpecialtyState
Clinical Social WorkerAK
Diagnostic Radiology, Interventional RadiologyDE
-IL
P S Y C H I A T R YHI
A N E S T H E S I O L O G YHI
Interventional Cardiology, Internal MedicineOR
-NJ
Radiation OncologyCA
Nurse PractitionerPA
Plastic And Reconstructive SurgeryOH

Reviews

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Frequently asked questions

What identifier follows DR. STEPHEN J. REIDY (M.D.) across health systems?
The NPI 1417973124 uniquely identifies DR. STEPHEN J. REIDY (M.D.) in U.S. healthcare data.
Is DR. STEPHEN J. REIDY (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. STEPHEN J. REIDY (M.D.) as active.
What does the directory say DR. STEPHEN J. REIDY (M.D.) does?
Insurance directories may phrase it differently, but here DR. STEPHEN J. REIDY (M.D.) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STEPHEN J. REIDY (M.D.)?
DR. STEPHEN J. REIDY (M.D.) shows a connection to Van Nuys, California in registry-derived data.
Why is information missing for DR. STEPHEN J. REIDY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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