Individual provider Active NPI

Rene A Reyes, M.D.

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1083634372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
84793 Issued in FL
Practice address
3700 Washington St
Suite # 404
Hollywood, FL 33021-8256
Phone
(954) 983-3233
Fax
(954) 962-7130
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 84793 FL Primary

Addresses

Primary practice location

3700 Washington St
Suite # 404
Hollywood, FL 33021-8256

Mailing address

3700 Washington St
Suite # 404
Hollywood, FL 33021-8256
Phone (954) 983-3233

Other identifiers 2

IdentifierTypeStateIssuer
84793OtherFLSTATE LICENSE
47839OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090618000703 FL Practitioner - Internal Medicine 7315915709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthstone Primary Care Partners LLCGroup PAC ID 7416230693, 12 clinicians

Practice addresses (Care Compare)

3700 Washington St
Suite 404
Hollywood, FL 33021-8249
Phone (954) 983-3233

Hospital & facility affiliations

  • Memorial Home Health Services Home health agency, Hollywood, FL, CCN 107444
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84793FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstone Primary Care Partners LLC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 224-2191

3039 Johnson St
Hollywood, FL 33021
Phone (954) 538-1111

3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888

Interoperability endpoints

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

Organizations & group practices 1

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 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083634372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE # 404",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-983-3233",
            "fax_number": "954-962-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE # 404",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-983-3233",
            "fax_number": "954-962-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "RENE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "84793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "84793",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47839",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.