Individual provider Active NPI

Jeffrey G Reres, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1346292950
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4459 Issued in AZ
Practice address
6042 N 10TH PL
Phoenix, AZ 85014-1929
Phone
(602) 466-2943
Fax
(602) 466-2943
NPI assigned
May 16, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229980 NY
Family Medicine Physician 207Q00000X 4459 AZ Primary

Addresses

Primary practice location

6042 N 10TH PL
Phoenix, AZ 85014-1929

Mailing address

6042 N 10TH PL
Phoenix, AZ 85014-1929
Phone (602) 466-2943

Other identifiers 1

IdentifierTypeStateIssuer
1174514756OtherAZGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040719001303 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 9032198379 Reassigns benefits to 3 organizations
I20080215000204 AZ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9032198379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25500 N Norterra Dr
Phoenix, AZ 85085-8200

3507 Pkwy
Lakeside, AZ 85929-3138

3805 E Bell Rd
Suite 2100
Phoenix, AZ 85032-2180

PO Box
Suite 3630
Flagstaff, AZ 86003

PO Box
Suite 3630
Flagstaff, AZ 86003-3630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4459AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC Multi-Specialty CurrentSince Mar 31, 2011 Accepting new patients
North Country Healthcare, Inc. Multi-Specialty Current Accepting new patients
Cigna Healthcare of Arizona, Inc. Multi-Specialty CurrentSince Apr 29, 2019 Accepting new patients
North Country Healthcare, Inc. CurrentSince Dec 24, 2022 Accepting new patients
Cigna Health Care of Arizona Inc. Multi-Specialty CurrentSince Apr 29, 2019 Accepting new patients
Cigna Health Care of Arizona Inc. Multi-Specialty Current Accepting new patients
Cigna Health Care of Arizona Inc. Multi-Specialty Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Dec 24, 2022 Accepting new patients
Cigna Health Care of Arizona Inc. Multi-Specialty Current Accepting new patients
Nextcare Arizona I JV LLC Multi-Specialty Past Accepting new patients
North Country Healthcare, Inc. Multi-Specialty Past Accepting new patients
Auburn Senior Services, Inc. Multi-Specialty Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

3931 E Camelback Rd
Phoenix, AZ 85018
Phone (602) 687-7858

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Seneca Nursing and Rehabilitation CenterWaterloo, NY, CCN 335400 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 27, 2026
May 27, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 8

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1346292950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6042 N 10TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141929",
            "telephone_number": "602-466-2943",
            "fax_number": "602-466-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 N 10TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141929",
            "telephone_number": "602-466-2943",
            "fax_number": "602-466-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RERES",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229980",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1174514756",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.