Individual provider Active NPI

Roberto Carlos Reynaga

  • Family Medicine Physician
  • Bluefield, WV
National Provider Identifier
1356699920
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102205474 Issued in VA
Practice address
500 Cherry St
Bluefield, WV 24701-3306
Phone
(304) 327-1666
NPI assigned
Aug 29, 2012
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 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 0102205474 VA Primary
Hospitalist Physician 208M00000X 83042 SC

Addresses

Primary practice location

500 Cherry St
Bluefield, WV 24701-3306

Mailing address

500 Cherry St
Bluefield, WV 24701-3306
Phone (304) 327-1666

Other practice location 1

701 Grove Rd Fl 5
Greenville, SC 29605-4210
Phone (864) 455-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SC2 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
I20200406002391 WV Practitioner - Family Practice 1254760622
I20211208000824 SC Practitioner - Family PracticePractitioner - Hospitalist 1254760622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 255-1000

800 N Fant St
Anderson, SC 29621-5708
Phone (770) 740-0895

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5005

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Feb 2, 2026 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 1, 2025 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Feb 2, 2026 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Dec 1, 2021 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 1, 2025 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Dec 1, 2021 Accepting new patients

Locations

318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

701 Grove Rd
#5
Greenville, SC 29605
Phone (864) 455-4411

701 Grove Rd
Fl 5
Greenville, SC 29605
Phone (864) 455-4411

Interoperability endpoints

  • Direct secure messaging: reynagar@yourcarecommunity.org
  • Direct secure messaging: roberto.reynaga.1@22307.direct.athenahealth.com
  • Direct secure messaging: roberto.reynaga@wvafn.hcadirect.net

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 1

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1356699920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHERRY ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013306",
            "telephone_number": "304-327-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRY ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013306",
            "telephone_number": "304-327-1666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-4411",
            "fax_number": "864-455-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNAGA",
        "first_name": "ROBERTO",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205474",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "83042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

Verify at the official NPI Registry.