Gerardo Reyes, M.D., M.B.A.

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

059179 Issued in GA

Practice address

4700 Waters Ave
Savannah, GA 31403-3089

Phone

(912) 350-8016

Fax

(912) 350-7221

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA, IL, TX, FL, NC, NM, PA7 enrollments

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 7

Specialty

Pediatric Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1548999451
  Medicare reassignment NPD Authorized official
• Global Open Wound Care PLLC

  • Family Nurse Practitioner
  • Southlake, TX
  • NPI 1720701659
  Medicare reassignment NPD
• Pediatric Urgent Care PA

  • Urgent Care Clinic/Center
  • The Woodlands, TX
  • NPI 1598059776
  Medicare reassignment NPD
• Direct Care Partners, PLLC

  • General Practice Physician
  • Austin, TX
  • NPI 1164289302

  IL, PA

  Medicare reassignment
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1104555044
  NPD (past) Authorized official
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Metairie, LA
  • NPI 1235869165
  NPD (past) Authorized official
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1467181305
  NPD (past) Authorized official
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Rocky River, OH
  • NPI 1699404541
  NPD (past) Authorized official
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Cedar Rapids, IA
  • NPI 1790415909
  NPD (past) Authorized official
• Pediatric Care for Kids, PA

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1841952918
  NPD
• Carle Health Care Incorporated

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947
  NPD (past)
• Global Open Wound Care Services LLC

  • Internal Medicine Physician
  • Gretna, NE
  • NPI 1932987864
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1194767954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931968",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931968",
            "telephone_number": "912-350-8016",
            "fax_number": "912-350-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314033089",
            "telephone_number": "912-350-8016",
            "fax_number": "912-350-7221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 River Run Ste 302",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761076547",
            "country_code": "US",
            "telephone_number": "512-884-5190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Fayetteville St Ste 1-C",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276011309",
            "country_code": "US",
            "telephone_number": "512-884-5190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9910 Indian School Rd NE Ste 204",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871122971",
            "country_code": "US",
            "telephone_number": "512-884-5190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2627 NE 203rd St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801945",
            "country_code": "US",
            "telephone_number": "512-884-5190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Cleveland Ave SW Ste 308",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303157118",
            "country_code": "US",
            "telephone_number": "512-884-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "GERARDO",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "H3835",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NC",
            "license": "2014-02124",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NM",
            "license": "MD2023-1175",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "FL",
            "license": "ME123613",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "GA",
            "license": "059179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G59179",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315942089A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-091219",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Kronquist Repper, PHD
• Resolve Strategies, Inc.
• Respiratory Care LLC
• Restoration of Focus: Mind, Body, and Mental Health Care
• Restore First Health Savannah LLC
• Karen Abigail Reyes
• Melanie Reyes, MA, BCBA
• Carmen Michele Reynolds-Howell, ADN, RN
• Jim Reynolds
• Madison Rae Reynolds

• Pediatric Critical Care Medicine Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Pediatric Critical Care Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.

Verify at the official NPI Registry.