Individual provider Active NPI

Neil Ivan Delos Reyes, PA-C

  • Physician Assistant
  • Wildwood, FL
National Provider Identifier
1104775071
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7910 Fern LN
Wildwood, FL 34785-7572
Phone
(352) 233-5257
NPI assigned
Jan 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7910 Fern LN
Wildwood, FL 34785-7572

Mailing address

7910 Fern LN
Wildwood, FL 34785-7572
Phone (352) 233-5257

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306001246 FL Practitioner - Physician Assistant 3375025497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, 1,125 clinicians
Pulse Medical Doctors LLCGroup PAC ID 8123394020, 5 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

871 County Rd
466 Suite 200
Lady Lake, FL 32159-4205
Phone (352) 350-5130

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Medical Doctors LLC CurrentSince Feb 10, 2026 Accepting new patients

Locations

871 County Road 466
#200
Lady Lake, FL 32159
Phone (352) 350-5130

749 Highway 466
Lady Lake, FL 32159
Phone (352) 350-5130

Interoperability endpoints

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

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1769212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1104775071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 FERN LN",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857572",
            "telephone_number": "352-233-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FERN LN",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857572",
            "telephone_number": "352-233-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOS REYES",
        "first_name": "NEIL IVAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

Verify at the official NPI Registry.