Internal Medicine of Wakefield

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE OF WAKEFIELD

Doing business as

C/O Lavinia Reyes MD

Practice address

11081 Forest Pines Dr
Suite 124
Raleigh, NC 27614-7655

Phone

(919) 435-6111

Fax

(919) 435-6113

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Lavinia T Reyes, M.D.NPI 1467498840

Title

Owner/President

Phone

(919) 556-5063

Specialties & licenses 1

Addresses

Other names 1

• C/O LAVINIA REYES MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10047/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lavinia T Reyes, MD

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1467498840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1023413580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PAWLEYS MILL CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147976",
            "telephone_number": "919-556-5063",
            "fax_number": "919-435-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11081 FOREST PINES DR",
            "address_2": "SUITE 124",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147655",
            "telephone_number": "919-435-6111",
            "fax_number": "919-435-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF WAKEFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "LAVINIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-556-5063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C/O LAVINIA REYES MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Interim Healthcare of the Triangle, LLC (Interim Healthcare)
• Interim Healthcare of the Triangle, LLC
• Interim Healthcare of the Triangle, LLC
• Interim Healthcare of the Triangle, LLC
• Internal Medicine Associates of Raleigh, PA
• International Clinic of the Carolinas PLLC
• Interseed N Grow
• Interventional Pain Center, PLLC
• Intralign NC PLLC
• Intrepid of North Carolina Inc (Intrepid USA Healthcare Services)

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.