Active NPI
Jose Reyes, M.D.
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1053519322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H6540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140228133 | Medicaid | TX |
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
Enrollment records 1
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
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
- Elara Caring
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.23 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 74.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 13 |
| Removal of skin lesions | 23 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6540 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1578631040
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1730214396
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Antonio, TX
- NPI 1851360861
-
- Home Health Agency
- San Antonio, TX
- NPI 1881835585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.
- 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.