Individual provider Active NPI

Thairy Reyes, DO

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1083101307
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
329397 Issued in LA
Practice address
2001 W. 68TH St
Suite 202
Hialeah, FL 33016
Phone
(305) 364-2107
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 329397 LA Primary

Addresses

Primary practice location

2001 W. 68TH St
Suite 202
Hialeah, FL 33016

Mailing address

2001 W 68TH St Ste 202
Hialeah, FL 33016-1898
Phone (305) 364-2107

Other names 1

  • Dr. Thairy Gabriela Reyes Valero Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20211229000357 LA Practitioner - Internal Medicine 3072853050 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
St. Martin Physician Services LLCGroup PAC ID 0446495410, 7 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

210 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (337) 332-2178

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.52
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329397LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambassador Physician Services LLC CurrentSince May 21, 2022 Accepting new patients
St Martin Physician Services LLC CurrentSince Nov 18, 2021 Accepting new patients
Hub City Physician Group, LLC CurrentSince May 21, 2022 Accepting new patients
Jefferson Davis Physician Services, LLC CurrentSince May 21, 2022 Accepting new patients
Coolidge Physician Services LLC CurrentSince May 21, 2022 Accepting new patients
Opelousas Physician Services LLC CurrentSince May 21, 2022 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Interoperability endpoints

  • Direct secure messaging: treyes1443582@direct.ochsner.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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1083101307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 68TH ST STE 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161898",
            "telephone_number": "305-364-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W. 68TH ST",
            "address_2": "SUITE 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-364-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "THAIRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "329397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THAIRY",
            "last_name": "REYES VALERO",
            "middle_name": "GABRIELA",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.