Jose Reyes, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

031786 Issued in CT

Practice address

309 Stillson Rd
Fairfield, CT 06825-3213

Phone

(203) 366-8700

Fax

(203) 367-8080

NPI assigned

Jul 7, 2005

Last updated

Dec 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Norwalk Community Health Center Inc

  • Health Service Clinic/Center
  • Norwalk, CT
  • NPI 1841226347
  Medicare reassignment NPD
• Center for Varicose Veins, LLC

  dba Center for Varicose Veins - Dr. Vinay Madan, MD, DABVLM

  • Vascular & Interventional Radiology Physician
  • Wilton, CT
  • NPI 1174168926
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1104823897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 STILLSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253213",
            "telephone_number": "203-366-8700",
            "fax_number": "203-367-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 STILLSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253213",
            "telephone_number": "203-366-8700",
            "fax_number": "203-367-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "031786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001317868",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restore Health Physical Therapy
• Restore Health, LLC
• Daniel York Reuben, MD
• Revitalizing Smiles, LLC
• Daniela Reyes, OTR/L
• Yoberki Reyes, L.C.S.W
• Dorothy Reynolds, L.O.
• Paige Reynolds, LCSW
• Glen A. Reznikoff, M.D.
• Gioia Jo Riccio, M.D.

• Obstetrics & Gynecology Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.