Active NPI
Antonio Reyes, MD
- Urology Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME70206
- Practice address
- 600 N Hiatus Rd
Suite 209
Pembroke Pines, FL 33026-5207 - Phone
- (954) 965-9860
- Fax
- (954) 965-9870
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME70206 | FL | Primary |
Addresses
Primary practice location
600 N Hiatus Rd
Suite 209
Pembroke Pines, FL 33026-5207
Mailing address
2160 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1410
Phone (239) 931-7342
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2227616 | Other | FL | AETNA |
| 59436 | Other | FL | HEALTH SUN |
| P01709685 | Other | FL | SIMPLY HEALTHCARE |
| 237204 | Other | FL | AVMED |
| PRV0002461 | Other | FL | PREFERRED MEDICAL PLAN |
| 033303 | Other | FL | NHP |
| 8837 | Other | FL | DIMENSION HEALTH |
| 46607 | Other | FL | BLUE CROSS BLUE SHIELD |
| 5699441 | Other | FL | AETNA |
| P01041697 | Other | FL | RAILROAD MCR |
| 24164 | Other | FL | MEDICA |
| P942521 | Other | FL | OPTIMUM |
| P1001893 | Other | FL | FREEDOM HEALTH |
| QMP000003674076 | Other | FL | MOLINA |
| 256864100 | Medicaid | FL | |
| F00201863802 | Other | FL | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060208000218 | FL | Practitioner - Urology | 6305851627 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesiscare USA of Florida LLC
Practice addresses (Care Compare)
1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202
600 N Hiatus Rd
Suite 209
Pembroke Pines, FL 33026-5207
Phone (954) 965-9860
Hospital & facility affiliations
- Memorial Hospital Pembroke
- Memorial Hospital West
- Memorial Hospital Miramar
- Memorial Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME70206 | FL | MD | Urology Physician |
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 21St Century Oncology LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Past | Accepting new patients |
| Steven L Morganstern Urology Clinic | Past | Accepting new patients |
Locations
1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202
2160 Colonial Blvd
Fort Myers, FL 33907
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
600 N Hiatus Rd
Ste 209
Pembroke Pines, FL 33026
Phone (954) 965-9860
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- antonioreyes@vanuro.medalliesdirect.net
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 and National Provider Directory roles.
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
FL, Urology
-
- Specialist
- Atlanta, GA
- NPI 1346425238
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1063495836
Hospital
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1174584809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071410",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HIATUS RD",
"address_2": "SUITE 209",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330265207",
"telephone_number": "954-965-9860",
"fax_number": "954-965-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ANTONIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME70206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2227616",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SUN",
"identifier": "59436",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIMPLY HEALTHCARE",
"identifier": "P01709685",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "237204",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICAL PLAN",
"identifier": "PRV0002461",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "033303",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSION HEALTH",
"identifier": "8837",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "46607",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5699441",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "P01041697",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "24164",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P942521",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P1001893",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "QMP000003674076",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256864100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "F00201863802",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.