Individual provider Active NPI

Amanda Reyes, MD

  • Interventional Pain Medicine Physician
  • Austin, TX
National Provider Identifier
1245850981
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
W8422 Issued in TX
Practice address
4316 James Casey St Ste B
Austin, TX 78745-1157
Phone
(855) 876-7246
Fax
(855) 277-5070
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X W8422 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X W8422 TX

Addresses

Primary practice location

4316 James Casey St Ste B
Austin, TX 78745-1157

Mailing address

PO Box 208357
Dallas, TX 75320-8357
Phone (512) 485-7208

Other practice location 1

2218 S Lakeline Blvd Ste 101
Cedar Park, TX 78613-4756
Phone (855) 876-7246

Other practice location 2

213 Hunters Vlg
New Braunfels, TX 78132-4742
Phone (855) 876-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200609000760 MI Order and Referring Only - Physical Medicine and RehabilitationPractitioner - Physical Medicine and Rehabilitation 5193146637

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: areyes3869026@oc.providencedirect.org

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1245850981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208357",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208357",
            "telephone_number": "512-485-7208",
            "fax_number": "737-304-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451157",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2218 S Lakeline Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786134756",
            "country_code": "US",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 Hunters Vlg",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781324742",
            "country_code": "US",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "W8422",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "W8422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.