Individual provider Active NPI

Alfonso Esteban Reyes, M.D.

  • Family Medicine Physician
  • Jersey Village, TX
National Provider Identifier
1225112659
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S0072 Issued in TX
Practice address
20320 Northwest Fwy Ste 500
Jersey Village, TX 77065-5644
Phone
(281) 586-3888
NPI assigned
Oct 24, 2006
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S0072 TX Primary

Addresses

Primary practice location

20320 Northwest Fwy Ste 500
Jersey Village, TX 77065-5644

Mailing address

943 Worthington Woods Loop Rd
Worthington, OH 43085-5743
Phone (614) 841-2420

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627003443 TX Practitioner - Family Practice 3779503834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

12314 Jones Rd
Houston, TX 77070-4802
Phone (346) 646-3529

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Family Medicine CurrentSince May 1, 2024 Accepting new patients
David P Ellent PLLC CurrentSince Oct 1, 2019 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince May 1, 2024 Accepting new patients
David P Ellent PLLC CurrentSince Oct 1, 2019 Accepting new patients
Fayette County Memorial Hospital Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Fostoria Hospital Association Past Accepting new patients
Adena Fayette Medical Center Past Accepting new patients

Locations

10720 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 345-4800

12314 Jones Rd
Houston, TX 77070
Phone (346) 646-3529

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

Interoperability endpoints

  • Direct secure messaging: alfonso.reyes.1@13711.direct.athenahealth.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 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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1225112659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 WORTHINGTON WOODS LOOP RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855743",
            "telephone_number": "614-841-2420",
            "fax_number": "614-841-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 500",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655644",
            "telephone_number": "281-586-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ALFONSO",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S0072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

Verify at the official NPI Registry.