Individual provider Active NPI

Jose Rodrigo Reyes III, M.D.

  • Emergency Medicine Physician
  • Eglin AFB, FL
National Provider Identifier
1265727200
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-8183 Issued in AR
Practice address
307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone
(850) 883-8227
NPI assigned
Jun 17, 2011
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME125315 FL
Emergency Medicine Physician 207P00000X E-8183 AR Primary

Addresses

Primary practice location

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302

Mailing address

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone (850) 883-8227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140519000876 AR Practitioner - Emergency Medicine 5890918916 Reassigns benefits to 1 organization
I20160331000707 FL Practitioner - Emergency Medicine 5890918916 Reassigns benefits to 4 organizations
I20240206003518 GA Practitioner - Emergency Medicine 5890918916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arkansas College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
North Walton Rural Hospital LLCGroup PAC ID 8123559168, 29 clinicians

Practice addresses (Care Compare)

200 Tequesta Dr
Destin, FL 32541-4758
Phone (850) 837-9194

4413 US Hwy 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 920-2065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine CurrentSince Jan 18, 2016 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients
South Georgia Emergency Medicine Associates PC Emergency Medicine CurrentSince Nov 19, 2023 Accepting new patients
North Walton Rural Hospital, LLC Emergency Medicine CurrentSince Sep 23, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Dec 17, 2024 Accepting new patients
Baptist Medcare, Inc Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

200 Tequesta Dr
Destin, FL 32541
Phone (850) 837-9194

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 7

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 5

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1265727200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD STE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD STE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOSE",
        "middle_name": "RODRIGO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME125315",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-8183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eglin AFB, FL

Sources for this page

Verify at the official NPI Registry.