Active NPI
Jesse Reeves-Garcia, MD
- Pediatric Gastroenterology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- ME0051318
- Practice address
- 8955 SW 87TH CT Ste 206
Miami, FL 33176-2223 - Phone
- (786) 888-2480
- Fax
- (305) 274-1282
- NPI assigned
- Jul 5, 2006
- Last updated
- Sep 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | ME0051318 | FL | Primary |
Addresses
Primary practice location
8955 SW 87TH CT Ste 206
Miami, FL 33176-2223
Mailing address
3200 SW 60TH CT
Suite 204
Miami, FL 33155-4000
Phone (305) 661-6110
Other practice location 1
3200 SW 60th Ct Ste 204
Miami, FL 33155-4070
Phone (786) 888-2480
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200918 | Other | FL | AMERIGROUP |
| 036774500 | Medicaid | FL | |
| 09858 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Puerto Rico School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 SW 60TH Court
Suite 204
Miami, FL 33155-4070
Phone (305) 661-3171
3200 SW 60TH CT
Suite 204
Miami, FL 33155-4070
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0051318 | FL | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Gastroenterology Associates PLLC | Pediatric Gastroenterology | Current | Accepting new patients |
| Pediatric Gastroenterology Associates PLLC | Current | Accepting new patients |
Locations
3200 SW 60th Ct
Ste 204
Miami, FL 33155
Phone (305) 661-3171
8955 SW 87th Ct
Ste 206
Miami, FL 33176
Phone (305) 596-4440
10045 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 888-2480
Organizations & group practices 2
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.
-
- Pediatric Gastroenterology Physician
- Miami, FL
- NPI 1295766558
-
- Non-Pharmacy Dispensing Site
- Pinecrest, FL
- NPI 1861361115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1134150477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT",
"address_2": "SUITE 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554000",
"telephone_number": "305-661-6110",
"fax_number": "305-662-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8955 SW 87TH CT STE 206",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762223",
"telephone_number": "786-888-2480",
"fax_number": "305-274-1282"
}
],
"practiceLocations": [
{
"address_1": "3200 SW 60th Ct Ste 204",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331554070",
"country_code": "US",
"telephone_number": "786-888-2480",
"fax_number": "305-662-5882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEVES-GARCIA",
"first_name": "JESSE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME0051318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "200918",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036774500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09858",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.
- 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.