Individual provider Active NPI

Robert John Reyes, MD

  • Vascular & Interventional Radiology Physician
  • Tacoma, WA
National Provider Identifier
1356789622
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
28073 Issued in NE
Practice address
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone
(818) 642-9365
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 28073 NE Primary
Diagnostic Radiology Physician 2085R0202X 2023-02545 NC

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Mailing address

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-2252

Other practice location 1

9300 DeWitt Loop Rm 53.218
Fort Belvoir, VA 22060-5285
Phone (818) 642-9365

Other practice location 2

8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (301) 295-8373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WA, MI, MO, IL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20210309001377 MD Practitioner - Interventional Radiology 5395093744 Reassigns benefits to 1 organization
I20230628002045 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5395093744 Reassigns benefits to 8 organizations
I20240214003484 MI Practitioner - Diagnostic Radiology 5395093744 Reassigns benefits to 1 organization
I20240401002559 MO Practitioner - Interventional Radiology 5395093744 Reassigns benefits to 1 organization
I20240409001540 IL Practitioner - Interventional Radiology 5395093744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

University Place, WA 98467
Phone (906) 449-3000

1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-7333

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1120 8TH Ave
Apt 2102
Seattle, WA 98101-2538
Phone (615) 312-0600

3214 N 7TH St
Tacoma, WA 98406-5906
Phone (336) 274-6682

4057 2ND Ave NE
Seattle, WA 98105-6507
Phone (888) 501-6087

58 S Madison St
Walla Walla, WA 99362-2416
Phone (312) 724-8477

8818 52ND Court W
University Place, WA 98467
Phone (309) 671-8282

8818 52ND St CT W
University Place, WA 98467-1760
Phone (380) 235-6195

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

  • Blessing Hospital Hospital, Quincy, IL, CCN 140015
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132
  • Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-02545NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Nov 24, 2024 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jan 27, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jan 11, 2021 Accepting new patients
Hurley Medical Center Current Accepting new patients
Blessing Hospital CurrentSince Mar 1, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Nov 26, 2023 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center CurrentSince Jan 9, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 28, 2023 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 11, 2021 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince May 24, 2023 Accepting new patients
Blessing Hospital CurrentSince Mar 1, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Jan 21, 2024 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Jan 9, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology PastSince Feb 2, 2020 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients

Locations

1937 Momentum Pl
Chicago, IL 60689

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

1005 Broadway St
Quincy, IL 62301

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

2401 W Belvedere Ave
Baltimore, MD 21215

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

710 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 362-7546

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

101 Medical Dr
Hannibal, MO 63401

100 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

Interoperability endpoints

  • Direct secure messaging: rreyes820477@direct.emplifyhealth.org
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 11

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1356789622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "818-642-9365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 DeWitt Loop Rm 53.218",
            "address_purpose": "LOCATION",
            "city": "Fort Belvoir",
            "state": "VA",
            "postal_code": "220605285",
            "country_code": "US",
            "telephone_number": "818-642-9365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890004",
            "country_code": "US",
            "telephone_number": "301-295-8373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "28073",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2023-02545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.