Active NPI
Crisanto M Reyes, M.D.
- Internal Medicine Physician
- Milford, IL
National Provider Identifier
1154461978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-078546
- Practice address
- 34 E Jones St
Milford, IL 60953-1046 - Phone
- (815) 889-4241
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36078546 | Medicaid | IL | |
| 01040271A | Medicaid | IN | |
| 100377000A | Medicaid | IN |
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Elara Caring
- R.M.C. Home Health Care
- Uplifted Care
- Vitas Healthcare Corporation of Illinois
- Iroquois Memorial Hospice
- Iroquois Memorial Hospital
- Riverside Medical Center
- Franciscan Health Rensselaer, Inc
- Franciscan Health Lafayette
- Gilman Healthcare Center
- Prairieview Lutheran Home
- Iroquois Resident Home, the
- Arcadia Care Watseka
- George Ade Memorial Health Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-078546 | IL | MD | Internal Medicine Physician |
Practice roles
Locations
720 S Crescent St
Ste B
Gilman, IL 60938
Phone (815) 265-8889
34 E Jones St
Milford, IL 60953
Phone (815) 889-4241
207 N Axtel Ave
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
- https://api.platform.athenahealth.com/15486/brand/2/csg/1/fhir/r4
- crisanto.reyes.1@15486.direct.athenahealth.com
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Iroquois Resident Home | 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.
-
- Skilled Nursing Facility
- Watseka, IL
- NPI 1992894802
Adp of the SNF, Corporate Director
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Surgery Physician
- Watseka, IL
- NPI 1083066674
-
- General Practice Physician
- Watseka, IL
- NPI 1134445851
-
- Rehabilitation Hospital
- Watseka, IL
- NPI 1629040266
-
- Orthopaedic Surgery Physician
- Watseka, IL
- NPI 1942454947
-
- Clinic/Center
- Watseka, IL
- NPI 1740538958
-
- General Practice Physician
- Saint Anne, IL
- NPI 1215650528
-
- Home Health Agency
- Watseka, IL
- NPI 1366447617
-
- Rural Health Clinic/Center
- Gilman, IL
- NPI 1366469132
-
- Rural Health Clinic/Center
- Watseka, IL
- NPI 1447610472
-
- Rural Health Clinic/Center
- Milford, IL
- NPI 1578580346
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Bourbonnais, IL
- NPI 1811935240
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
- Community Based Hospice Care Agency
- Watseka, IL
- NPI 1841295763
-
- Skilled Nursing Facility
- Watseka, IL
- NPI 1992894802
Nursing home
-
- Skilled Nursing Facility
- Danforth, IL
- NPI 1881671741
Nursing home
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- Home Health Agency
- Peotone, IL
- NPI 1740346451
-
- Community Based Hospice Care Agency
- Tinley Park, IL
- NPI 1225170889
-
- Skilled Nursing Facility
- Brook, IN
- NPI 1811086044
Nursing home
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36078546",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01040271A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100377000A",
"state": "IN"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.