Individual provider Active NPI

Jose Reyes, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1053519322
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6540 Issued in TX
Practice address
12730 W Ih 10
Suite 306
San Antonio, TX 78230-1003
Phone
(210) 877-0772
Fax
(210) 877-0785
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H6540 TX Primary

Addresses

Primary practice location

12730 W Ih 10
Suite 306
San Antonio, TX 78230-1003

Mailing address

PO Box 806
San Antonio, TX 78293-0806
Phone (210) 877-0772

Other identifiers 1

IdentifierTypeStateIssuer
140228133MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060112000465 TX Practitioner - Family Practice 9335162676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Healthnet Medical Clinic LTDGroup PAC ID 1254354590, 11 clinicians

Practice addresses (Care Compare)

12730 W Ih
10 Suite 306
San Antonio, TX 78230-1004
Phone (210) 877-0772

Hospital & facility affiliations

  • San Antonio Home Health Home health agency, San Antonio, TX, CCN 747408
  • Elara Caring Home health agency, San Antonio, TX, CCN 679275

Merit-based Incentive Payment System (MIPS)

Final score
22.23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal13
Removal of skin lesions23
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6540TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Healthnet Medical Clinic LTD. Family Medicine Past Accepting new patients

Organizations & group practices 2

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 2

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1053519322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782930806",
            "telephone_number": "210-877-0772",
            "fax_number": "210-877-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 W IH 10",
            "address_2": "SUITE 306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301003",
            "telephone_number": "210-877-0772",
            "fax_number": "210-877-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140228133",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.