Individual provider Active NPI

Jesse Reeves-Garcia, MD

  • Pediatric Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1134150477
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME0051318 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200918OtherFLAMERIGROUP
036774500MedicaidFL
09858OtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000691 FL Practitioner - Pediatric MedicinePractitioner - Gastroenterology 2264616119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Gastroenterology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Gastroenterology Associates PLLCGroup PAC ID 6305020256, 7 clinicians

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

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0051318FLMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Gastroenterology Associates PLLC Pediatric Gastroenterology CurrentSince Jun 14, 2010 Accepting new patients
Pediatric Gastroenterology Associates PLLC CurrentSince Nov 9, 2025 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.

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

Verify at the official NPI Registry.