NPIMap

Individual provider Active NPI

Rodolfo C Reyes, MD

  • Internal Medicine Physician
  • Lillington, NC
National Provider Identifier
1184653834
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9500701 Issued in NC
Practice address
100 S 10TH St
Lillington, NC 27546-6690
Phone
(910) 893-4111
NPI assigned
Jul 2, 2006
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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 9500701 NC Primary

Addresses

Primary practice location

100 S 10TH St
Lillington, NC 27546-6690

Mailing address

100 S 10TH St
Lillington, NC 27546-6690
Phone (910) 893-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000056 NC Practitioner - Internal MedicinePractitioner - Family Practice 7911819628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

100 S 10TH St
Lillington, NC 27546-6690
Phone (910) 893-4111

605 W Cumberland St
Dunn, NC 28334-4823
Phone (910) 891-1391

721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med First Immediate Care & Family Practice, PA CurrentSince Jun 8, 2024 Accepting new patients
Med Fast, P. C. CurrentSince Feb 8, 2003 Accepting new patients
Shoreview Medical Associates, PLLC Past Accepting new patients
Good Hope Hospital, Inc. Past Accepting new patients

Locations

602 S Wall St
Benson, NC 27504
Phone (919) 894-3321

605 W Cumberland St
Dunn, NC 28334
Phone (910) 891-1391

7212 Gb Alford Hwy
Holly Springs, NC 27540
Phone (919) 552-1520

609 Richlands Hwy
Ste 6
Jacksonville, NC 28540
Phone (910) 455-7888

100 S 10th St
Lillington, NC 27546
Phone (910) 893-4111

1616 E Millbrook Rd
Ste 110
Raleigh, NC 27609
Phone (919) 341-4016

3396 Six Forks Rd
Raleigh, NC 27609
Phone (919) 781-8897

4450 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 572-3154

707 Lassiter St
Smithfield, NC 27577
Phone (919) 912-5160

Interoperability endpoints

  • Direct secure messaging: rodolfo.reyes.1@1905.direct.athenahealth.com
  • Direct secure messaging: rreyes@187.securemail.prognocis.com

Organizations & group practices 8

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 4

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1184653834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 10TH ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466690",
            "telephone_number": "910-893-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 10TH ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466690",
            "telephone_number": "910-893-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "RODOLFO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9500701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.