Individual provider Active NPI

Crisanto M Reyes, M.D.

  • Internal Medicine Physician
  • Milford, IL
National Provider Identifier
1154461978
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-078546 Issued in IL
Practice address
34 E Jones St
Milford, IL 60953-1046
Phone
(815) 889-4241
NPI assigned
Feb 8, 2007
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 036-078546 IL Primary

Addresses

Primary practice location

34 E Jones St
Milford, IL 60953-1046

Mailing address

34 E Jones St
Milford, IL 60953-1046
Phone (815) 889-4241

Other practice location 1

720 S Crescent St Ste B
Gilman, IL 60938-1518
Phone (815) 265-8889

Other practice location 2

303 N 7th St
Kentland, IN 47951-1379
Phone (219) 474-5464

Other practice location 3

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5411

Other practice location 4

135 W Station St
Saint Anne, IL 60964-7251
Phone (815) 427-1324

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address crisanto.reyes.1@15486.direct.athenahealth.com Direct
Direct Messaging Address crisanto.reyes.1@15486.direct.athenahealth.com Direct
Direct Messaging Address crisanto.reyes.1@15486.direct.athenahealth.com Direct
Direct Messaging Address crisanto.reyes.1@15486.direct.athenahealth.com Direct
Direct Messaging Address crisanto.reyes.1@15486.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041222000010 IL Practitioner - Internal Medicine 0840269759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-0185

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-078546ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iroquois Memorial Hospital and Resident Home CurrentSince Jun 1, 2004 Accepting new patients
Iroquois Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Iroquois Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital & Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients
Iroquois Memorial Hospital and Resident Home PastSince Jan 1, 1990 Accepting new patients

Locations

720 S Crescent St
Ste B
Gilman, IL 60938
Phone (815) 265-8889

207 N Axtel Ave
Milford, IL 60953
Phone (815) 889-4241

34 E Jones St
Milford, IL 60953
Phone (815) 889-4241

160 E Grove St
Sheldon, IL 60966
Phone (815) 429-3314

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

200 Laird Ln
Watseka, IL 60970
Phone (815) 429-3314

303 N 7th St
Kentland, IN 47951
Phone (219) 474-5464

Interoperability endpoints

  • Direct secure messaging: crisanto.reyes.1@15486.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15486/brand/2/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Iroquois Resident HomeWatseka, IL, CCN 146049 Skilled nursing facility Corporate Director
Adp of the SNF
Sep 1, 2018
Feb 12, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1154461978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E JONES ST",
            "city": "MILFORD",
            "state": "IL",
            "postal_code": "609531046",
            "telephone_number": "815-889-4241",
            "fax_number": "815-889-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E JONES ST",
            "city": "MILFORD",
            "state": "IL",
            "postal_code": "609531046",
            "telephone_number": "815-889-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 S Crescent St Ste B",
            "address_purpose": "LOCATION",
            "city": "Gilman",
            "state": "IL",
            "postal_code": "609381518",
            "country_code": "US",
            "telephone_number": "815-265-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Kentland",
            "state": "IN",
            "postal_code": "479511379",
            "country_code": "US",
            "telephone_number": "219-474-5464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 W Station St",
            "address_purpose": "LOCATION",
            "city": "Saint Anne",
            "state": "IL",
            "postal_code": "609647251",
            "country_code": "US",
            "telephone_number": "815-427-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "CRISANTO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-078546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crisanto.reyes.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34 E Jones St",
            "city": "Milford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609531046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crisanto.reyes.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 S Crescent St Ste B",
            "city": "Gilman",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609381518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crisanto.reyes.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crisanto.reyes.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 N 7th St",
            "city": "Kentland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479511379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crisanto.reyes.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "135 W Station St",
            "city": "Saint Anne",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609647251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, IL

Sources for this page

Verify at the official NPI Registry.