Medihealth Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDIHEALTH PRIMARY CARE LLC

Practice address

2345 W Franklin St Ste 102
Evansville, IN 47712-5100

Phone

(812) 270-9903

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Hubert Reyes, MDNPI 1497957526

Title

Owner

Phone

(812) 270-9903

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22875/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hubert S Reyes, MD

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1497957526
  Medicare reassignment Care Compare group NPD Authorized official
• Cynthia Kay Kiesel, FNP-BC

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1558405753
  Medicare reassignment Care Compare group NPD
• Gina M Smith, APRN

  • Family Nurse Practitioner
  • Madisonville, KY
  • NPI 1750803284

  IN

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1083213607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 W FRANKLIN ST STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125100",
            "telephone_number": "812-598-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 W FRANKLIN ST STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125100",
            "telephone_number": "812-270-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIHEALTH PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-270-9903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medic on-Site Services, LLC
• Medical Cosmetic Center, LLC
• Medical Service Company (Medical Service Compnaies)
• Medical Services of America, Inc. (Medical Services of America Hospice)
• Gerard W Medicis, MSW, LCSW
• Krisie L Medler, AGACNP
• Rebecca J Medler
• Medpeds, LLC
• Rebecca Elizabeth Medrano, MS,CCC-SLP
• Sarah M Meehan, FNP

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.