NPIMap

Individual provider Active NPI

Luis A Reynoso, MD

  • Internal Medicine Physician
  • Harlingen, TX
National Provider Identifier
1063402741
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1637 Issued in TX
Practice address
2401 N Ed Carey Dr
Ste C
Harlingen, TX 78550-8205
Phone
(956) 425-7800
Fax
(956) 425-7801
NPI assigned
Oct 25, 2005
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1637 TX Primary

Addresses

Primary practice location

2401 N Ed Carey Dr
Ste C
Harlingen, TX 78550-8205

Mailing address

2401 N Ed Carey Dr
Ste C
Harlingen, TX 78550-8205
Phone (956) 425-7800

Other identifiers 1

IdentifierTypeStateIssuer
101347602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000507 TX Practitioner - Internal Medicine 2668556671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

629 Kaimali Dr
Harlingen, TX 78550-0016
Phone (956) 425-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1637TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Luis Reynoso PA Internal Medicine CurrentSince Mar 9, 2009 Accepting new patients
VHS Harlingen Hospital Company LLC Past Accepting new patients
Oakbend Medical Center Past Accepting new patients
Starr County Hospital District Past Accepting new patients
Valley Diagnostic Clinic PA Internal Medicine Past Accepting new patients
Harlingen Medical Center Limited Partnership Past Accepting new patients

Locations

2401 N Ed Carey Dr
Ste C
Harlingen, TX 78550
Phone (956) 425-7800

629 Kamali Dr
Harlingen, TX 78550
Phone (956) 425-7800

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Windsor AtriumHarlingen, TX, CCN 676125 Skilled nursing facility Adp of the SNF Jan 1, 2025
Harlingen Nursing and Rehabilitation CenterHarlingen, TX, CCN 675606 Skilled nursing facility Adp of the SNF Jan 1, 2025
Greater Valley Hospice Alliance LPHarlingen, TX, CCN 671629 Hospice Contracted Managing Employee Jun 26, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1063402741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N ED CAREY DR",
            "address_2": "STE C",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508205",
            "telephone_number": "956-425-7800",
            "fax_number": "956-425-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N ED CAREY DR",
            "address_2": "STE C",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508205",
            "telephone_number": "956-425-7800",
            "fax_number": "956-425-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101347602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.