Steven Reilly, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02136 Issued in TX

Practice address

1729 Weston Brent LN Ste a
El Paso, TX 79935-3013

Phone

(915) 595-1905

Fax

(915) 595-1934

NPI assigned

Dec 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Luz a. Candelaria,D.O.P.a.,Dba/Candelaria Medical Center

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1285679936
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023174075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11364B BEACH FRONT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 WESTON BRENT LN STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353013",
            "telephone_number": "915-595-1905",
            "fax_number": "915-595-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "STEVEN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA02136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehabilities Partners LLC
• Amra Rehman, MD
• Aziz Ur Rehman, M.D.
• Maria Abdul Rehman
• David A Reiersen, MD
• Kelly Ann Reinhart, LCSW
• Andre Reis Malaman
• Gary Everett Reister, MD
• Dennis J. Reiter, D.O.
• Sheri Reiter, M.S. CCC-SLP

• Medical Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.