{"npi":"1629280995","type":"NPI-1","status":"active","name":{"display":"Reedada Idriss MD","other":[{"code":"5","type":"Also known as","value":"IDRISS, REED S"}],"first":"REEDADA","last":"IDRISS","middle":"S","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"MN","license":"49753"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"CT","license":"047400"}]},"addresses":[{"purpose":"LOCATION","street_1":"24 HOSPITAL AVE","city":"DANBURY","state":"CT","postal_code":"068106099","country_code":"US","phone":"2037397000"},{"purpose":"MAILING","street_1":"5120 DUVALL PL NW","city":"ROCHESTER","state":"MN","postal_code":"559013821","country_code":"US","phone":"5072871831"}],"license":{"state":"CT","number":"047400"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"297122100","state":"MN","issuer":null},{"type_code":"05","label":"Medicaid","value":"35174100","state":"WI","issuer":null},{"type_code":"05","label":"Medicaid","value":"ENROLLED","state":"IA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090729000585","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"CT","pac_id":"8527151448"},{"enrlmt_id":"I20240205003587","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NY","pac_id":"8527151448"}]},"enumeration_date":"2007-05-07","last_updated":"2009-06-02","_meta":{"source":"NPPES","snapshot_date":"2009-06-02","doc_url":"https://findmynpi.com/api"}}