Active NPI
Cynthia Reyes, MD
- Pediatrics Physician
- Kaufman, TX
National Provider Identifier
1275517583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G0006
- Practice address
- 1011 W Grove St
Kaufman, TX 75142-1882 - Phone
- (972) 932-1319
- Fax
- (972) 932-1396
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G0006 | TX | Primary |
Addresses
Primary practice location
1011 W Grove St
Kaufman, TX 75142-1882
Mailing address
1011 W Grove St
Ste 120
Kaufman, TX 75142-1882
Phone (972) 932-1319
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139455304 | Medicaid | TX | |
| 139455306 | Medicaid | TX | |
| 139455313 | Medicaid | TX | |
| 139455302 | Medicaid | TX | |
| 139455316 | Medicaid | TX | |
| 139455301 | Medicaid | TX | |
| 139455305 | Medicaid | TX | |
| 139455318 | Medicaid | TX | |
| 8AL501 | Other | TX | BCBS |
| 139455307 | Medicaid | TX | |
| 139455311 | Medicaid | TX | |
| 139455308 | Medicaid | TX | |
| 139455315 | Medicaid | TX | |
| 139455309 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Healthcare, Inc | Pediatrics | Past | Accepting new patients |
| Healing Hands Ministries Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23977/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1306287529
-
- Pediatrics Physician
- Kaufman, TX
- NPI 1376732339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1275517583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 W GROVE ST",
"address_2": "STE 120",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421882",
"telephone_number": "972-932-1319",
"fax_number": "972-932-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W GROVE ST",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421882",
"telephone_number": "972-932-1319",
"fax_number": "972-932-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "CYNTHIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G0006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455304",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455306",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455313",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455316",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455305",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455318",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AL501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455307",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455311",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455308",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455315",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455309",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kaufman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.