Mobile Podiatry

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

MOBILE PODIATRY

Practice address

439 Youngs Mill LN
Newport News, VA 23602-9002

Phone

(443) 735-7542

NPI assigned

Dec 17, 2015

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Desiree M Reyes, DPMNPI 1730413584

Title

Owner

Phone

(443) 735-7542

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Desiree Mary Reyes, DPM

  • Podiatrist
  • Newport News, VA
  • NPI 1730413584

  Podiatric

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1023473139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2553",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236090553",
            "telephone_number": "443-735-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 YOUNGS MILL LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029002",
            "telephone_number": "443-735-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-735-7542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara N Mitchell, FNP
• Trinity Mitchell, RBT
• Brian Adam Mitnick
• Kerry Leon Mizell, LPC
• MMS Norfolk, Inc. (Medical Equipment Distributors of Virginia)
• Mobilitymed Transport LLC
• Richard Dale Mocabee, P.T.
• Tania Jeanette Modeliste, NURSE PRACTITIONER
• Emad Said Mohamed Khalil, MD
• Sathish Mohan, M.D.

• Podiatric Clinic/Center in Newport News, VA
• Providers in Newport News, VA by specialty
• Podiatric Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.