Individual provider Active NPI

Guadalupe Reyna, DO

  • Family Medicine Physician
  • Coppell, TX
National Provider Identifier
1053570226
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N6611 Issued in TX
Practice address
2999 Olympus Blvd Ste 300
Coppell, TX 75019-6340
Phone
(214) 645-6800
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 N6611 TX Primary

Addresses

Primary practice location

2999 Olympus Blvd Ste 300
Coppell, TX 75019-6340

Mailing address

2999 Olympus Blvd Ste 300
Coppell, TX 75019-6340
Phone (214) 645-6800

Other practice location 1

8194 Walnut Hill Ln Bldg 5
Dallas, TX 75231-4316
Phone (214) 645-6800

Other practice location 2

2740 N Hwy 360
Suite 100
Grand Prairie, TX 75050-6403
Phone (972) 606-8300 ext. 266

Other identifiers 1

IdentifierTypeStateIssuer
286086801MedicaidTX

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
I20111108000362 TX Practitioner - Family Practice 0446423412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

8194 Walnut Hill Lane
Suite 100
Dallas, TX 75231-4316
Phone (214) 645-3900

Hospital & facility affiliations

  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 1, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 15, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Sep 15, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

2999 Olympus Blvd
Ste 300
Coppell, TX 75019
Phone (214) 645-6800

8194 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone (214) 645-3900

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8194 Walnut Hill Ln
Bldg 5
Dallas, TX 75231
Phone (214) 645-6800

2740 N State Highway 360
Ste 100
Grand Prairie, TX 75050
Phone 9726068300 ext. 266

2210 N State Highway 360
Grand Prairie, TX 75050
Phone (972) 606-8300

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: greyna225610@direct.sw.org

Organizations & group practices 7

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1053570226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 OLYMPUS BLVD STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196340",
            "telephone_number": "214-645-6800",
            "fax_number": "972-606-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 OLYMPUS BLVD STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196340",
            "telephone_number": "214-645-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8194 Walnut Hill Ln Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314316",
            "country_code": "US",
            "telephone_number": "214-645-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 N Hwy 360",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750506403",
            "country_code": "US",
            "telephone_number": "972-606-8300 x266",
            "fax_number": "972-606-8312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "GUADALUPE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286086801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.