Ricardo Reyna III, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N5969 Issued in TX

Practice address

100 E Schuster Ave
El Paso, TX 79902-3556

Phone

(915) 317-5900

Fax

(915) 975-5912

NPI assigned

Dec 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAJJBD/Endpoint/AAJJBD

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.

• Bluff Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1679071690
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas - Houston, PLLC

  • Emergency Medicine Physician
  • Plainview, TX
  • NPI 1760028740
  Medicare reassignment NPD
• Ricardo Reyna III MD PLLC

  • Pediatrics Physician
  • El Paso, TX
  • NPI 1508415837
  NPD Authorized official
• El Paso Healthcare System LTD

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1770536120
  NPD (past)
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1700801909
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1043494735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SCHUSTER AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023556",
            "telephone_number": "915-317-5900",
            "fax_number": "915-975-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SCHUSTER AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023556",
            "telephone_number": "915-317-5900",
            "fax_number": "915-975-5912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 N Mesa",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "85018",
            "country_code": "US",
            "telephone_number": "915-838-0100",
            "fax_number": "915-838-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "RICARDO",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "81019",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N5969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "81019",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Reyna, PHARMD.
• Katherine Reyna, LPC
• Keyla Nurith Reyna
• Leticia S. Reyna, M.T.
• Priscilla Reyna
• Victoria Reyna, LPC
• Anissa Reynaud, OTR/L
• Reynolds Plastic Surgery Center
• Audree Jean Reynolds, FNP-C
• Brian W. Reynolds, PHD

• Pediatrics Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.