Individual provider Active NPI

Lucia Fernanda Reyes, M.D.

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1013363514
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-03475 Issued in NC
Practice address
222 Ashville Ave Ste 10
Cary, NC 27518-6130
Phone
(919) 350-7231
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218223 NC
Family Medicine Physician 207Q00000X ME140690 FL
Family Medicine Physician 207Q00000X 2020-03475 NC Primary

Addresses

Primary practice location

222 Ashville Ave Ste 10
Cary, NC 27518-6130

Mailing address

222 Ashville Ave Ste 10
Cary, NC 27518-6130
Phone (919) 235-6575

Other practice location 1

322 Main St
Prospect Hill, NC 27314-9438
Phone (336) 562-3311

Other practice location 2

8960 Colonial Center Dr Ste 300
Fort Myers, FL 33905
Phone (239) 343-9470

Other identifiers 1

IdentifierTypeStateIssuer
103357200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201000402 NC Practitioner - Family Practice 1759674922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

150 E Davie St
Raleigh, NC 27601-1806
Phone (919) 834-5299

2800 Kidd Rd
Raleigh, NC 27610-1842
Phone (919) 231-9727

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME140690FLMDFamily Medicine Physician
2020-03475NCMDFamily Medicine Physician
218223NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Jan 4, 2021 Accepting new patients
Wake Specialty Physicians, LLC Family Medicine Current Accepting new patients

Locations

7560 Carpenter Fire Station Rd
Cary, NC 27519
Phone (919) 235-6545

222 Ashville Ave
Ste 10
Cary, NC 27518
Phone (919) 233-6000

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

101 Cotten Ln
Holly Springs, NC 27540
Phone (919) 235-6456

150 E Davie St
Raleigh, NC 27601
Phone (919) 834-5299

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

Interoperability endpoints

  • Direct secure messaging: lreyes112834@directhisp.wakemed.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1013363514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ASHVILLE AVE STE 10",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186130",
            "telephone_number": "919-235-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ASHVILLE AVE STE 10",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186130",
            "telephone_number": "919-350-7231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Main St",
            "address_purpose": "LOCATION",
            "city": "Prospect Hill",
            "state": "NC",
            "postal_code": "273149438",
            "country_code": "US",
            "telephone_number": "336-562-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8960 Colonial Center Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33905",
            "country_code": "US",
            "telephone_number": "239-343-9470",
            "fax_number": "239-343-9498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "LUCIA",
        "middle_name": "FERNANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "218223",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME140690",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-03475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103357200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.