Active NPI
Jeffrey L Reha, MD
- Surgical Oncology Physician
- Fort Bliss, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 10780
- Practice address
- 18511 Highlander Medics St
Fort Bliss, TX 79906-5327 - Phone
- (915) 742-0741
- NPI assigned
- Jan 11, 2007
- Last updated
- Sep 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10780 | ND | |
| Surgical Oncology Physician | 2086X0206X | 10780 | ND | Primary |
| Military Health Care Provider | 171000000X |
Addresses
Primary practice location
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Mailing address
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone (915) 742-0741
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10780 | ND | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgical Affiliates of Texas PA | Surgery | Current | Accepting new patients |
Locations
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1407322415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1386794410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18511 HIGHLANDER MEDICS ST",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "799065327",
"telephone_number": "915-742-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18511 HIGHLANDER MEDICS ST",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "799065327",
"telephone_number": "915-742-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHA",
"first_name": "JEFFREY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "10780",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "ND",
"license": "10780",
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.