NPIMap

Individual provider Active NPI

Graciela Bellaney Reyes, M.D.

  • General Practice Physician
  • Sunrise, FL
National Provider Identifier
1326471202
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18558 Issued in PR
Practice address
4269 NW 88TH Ave
Sunrise, FL 33351-6044
Phone
(954) 578-0200
Fax
(954) 578-0050
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18558 PR Primary

Addresses

Primary practice location

4269 NW 88TH Ave
Sunrise, FL 33351-6044

Mailing address

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone (605) 355-2500

Other names 1

  • Dr. Graciela Bellaney Hobert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140930000575 PR Practitioner - General Practice 7012137839 Practice locations: Cidra, PR; Cayey, PR
I20151207002979 TX Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 7012137839 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Tribal Chairmen'S Health BoardGroup PAC ID 0648609917, 64 clinicians

Practice addresses (Care Compare)

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone 60535525002356

Hospital & facility affiliations

  • Monument Health Home Plus Home Health Home health agency, Rapid City, SD, CCN 437003
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18558PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 24, 2015 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Jun 7, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Great Plains Tribal Chairmen'S Health Board CurrentSince Jan 4, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 24, 2015 Accepting new patients
Sunset Strip Medical Center, Inc Past Accepting new patients

Locations

3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1326471202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028114",
            "telephone_number": "605-355-2500",
            "fax_number": "605-355-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4269 NW 88TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516044",
            "telephone_number": "954-578-0200",
            "fax_number": "954-578-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GRACIELA",
        "middle_name": "BELLANEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACIELA",
            "last_name": "HOBERT",
            "middle_name": "BELLANEY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.