Individual provider Active NPI

Concepcion Delos Reyes

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1154854214
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133466 Issued in TX
Practice address
3108 Midway Rd Ste 104
Plano, TX 75093-8485
Phone
(972) 398-0393
Fax
(972) 398-0499
NPI assigned
Apr 6, 2017
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP133466 TX Primary

Addresses

Primary practice location

3108 Midway Rd Ste 104
Plano, TX 75093-8485

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2200

Other practice location 1

14121 Parke Long Ct
Suite 201
Chantilly, VA 20151-1647
Phone (832) 760-8068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927001639 TX Practitioner - Nurse Practitioner 8224302419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Regional Gastroenterology Institute PLLCGroup PAC ID 9436417672, 37 clinicians
Digestive and Liver Disease Consultants, PAGroup PAC ID 5496798449, 4 clinicians

Practice addresses (Care Compare)

18955 N Memorial Dr
Suite 500
Humble, TX 77338-4399
Phone (281) 440-0101

275 Lantern Bend Dr
Houston, TX 77090-2842
Phone (727) 692-4825

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.44 of 100Reported as group
Quality
77.71
Promoting interoperability
95
Improvement activities
40
Cost
67.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP133466TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Oct 4, 2024 Accepting new patients
Houston Regional Gastroenterology Institute PLLC CurrentSince Jun 1, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Oct 4, 2024 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

275 Lantern Bend Dr
Ste 200
Houston, TX 77090
Phone (281) 440-0101

9731 Wortham Blvd
Ste 104
Houston, TX 77065
Phone (832) 707-5011

18955 N Memorial Dr
Ste 500
Humble, TX 77338
Phone (281) 440-0101

3108 Midway Rd
Ste 104
Plano, TX 75093
Phone (214) 731-3008

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17937/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1154854214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2200",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 MIDWAY RD STE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938485",
            "telephone_number": "972-398-0393",
            "fax_number": "972-398-0499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14121 Parke Long Ct",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "832-760-8068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOS REYES",
        "first_name": "CONCEPCION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.