Individual provider Active NPI

Reyna Rey, DPM

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
National Provider Identifier
1356838437
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3077 Issued in TX
Practice address
114 W Castellano Dr
El Paso, TX 79912-6119
Phone
(915) 532-3721
NPI assigned
Apr 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3077 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

114 W Castellano Dr
El Paso, TX 79912-6119

Mailing address

200 E State St
Alliance, OH 44601-4936
Phone (330) 821-6438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001568 TX Practitioner - Podiatry 3870996143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Efren Buff de la Rosa DPM PAGroup PAC ID 0042520306, 6 clinicians

Practice addresses (Care Compare)

114 W Castellano Dr
El Paso, TX 79912-6119
Phone (915) 532-3721

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue362
Removal or shaving of skin growth68
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Efren Buff de la Rosa, DPM, PA Foot & Ankle Surgery CurrentSince Jul 1, 2021 Accepting new patients

Locations

1387 George Dieter Dr
Ste 102
El Paso, TX 79936
Phone (915) 532-3721

8815 Dyer St
Ste 348
El Paso, TX 79904
Phone (915) 532-3721

114 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-3721

6955 N Mesa St
Ste 301
El Paso, TX 79912
Phone (915) 581-1133

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1356838437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014936",
            "telephone_number": "330-821-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CASTELLANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126119",
            "telephone_number": "915-532-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY",
        "first_name": "REYNA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3077",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.