Individual provider Active NPI

Rey Phillip Garay Llenes, MD

  • Anesthesiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1033452545
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME131051 Issued in FL
Practice address
3601 W Commercial Blvd Ste 5
Fort Lauderdale, FL 33309-3392
Phone
(954) 485-5666
Fax
(954) 484-1651
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X ME131051 FL Primary

Addresses

Primary practice location

3601 W Commercial Blvd Ste 5
Fort Lauderdale, FL 33309-3392

Mailing address

3601 W Commercial Blvd Ste 5
Fort Lauderdale, FL 33309-3392
Phone (954) 485-5666

Other practice location 1

100 Nicols Road
Department of Anesthesiology, Stony Brook Medicine
Stony Brook, NY 11794-8480
Phone (631) 444-2975

Other identifiers 2

IdentifierTypeStateIssuer
020744100MedicaidFL
ME131051OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170828001758 FL Practitioner - Anesthesiology 4688946536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131051FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesco North Broward LLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients

Locations

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 4

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 1

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033452545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093392",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093392",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Nicols Road",
            "address_2": "Department of Anesthesiology, Stony Brook Medicine",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948480",
            "country_code": "US",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLENES",
        "first_name": "REY PHILLIP",
        "middle_name": "GARAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME131051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020744100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME131051",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.