Individual provider Active NPI

David G Reis

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1427132703
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
029939 Issued in CT
Practice address
635 Madison Ave FL 1400
New York, NY 10022-1036
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
Oct 24, 2006
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 029939 CT Primary
Internal Medicine Physician 207R00000X 159882 NY
Phlebology Physician 202K00000X 159882 NY

Addresses

Primary practice location

635 Madison Ave FL 1400
New York, NY 10022-1036

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

200 S Greenleaf St Ste E
Gurnee, IL 60031-3398
Phone (800) 991-6117

Other practice location 2

4 Brook Rd
Woodbridge, CT 06525-1925
Phone (203) 980-6811

Other practice location 3

95 N State Rt 17 Ste 202
Paramus, NJ 07652-2626
Phone (800) 991-6117

Other identifiers 11

IdentifierTypeStateIssuer
09-45753OtherCTAMERICHOICE
09-45753OtherCTUHC
208799OtherCTWELLCARE
P2723932OtherCTOXFORD
3V4063OtherCTHEALTHNET
MEDICAREOtherCT060001509
P00017040OtherCTRR MEDICARE
716909-H055OtherCTCONNECTICARE
010029939CT06OtherCTANTHEM BCBS CT
3007522/4124373OtherCTAETNA
232509OtherCTUSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241209000234 CT Practitioner - Internal Medicine 1759460066 Reassigns benefits to 1 organization
I20241209000266 NY Practitioner - Internal Medicine 1759460066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159882NYMDPhlebology Physician
029939CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical United PLLC Multi-Specialty CurrentSince Oct 21, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Sep 4, 2024 Accepting new patients
Brookview Medical Associates, PLLC Multi-Specialty CurrentSince Sep 4, 2024 Accepting new patients
Harmony Plastic Surgery PLLC Multi-Specialty CurrentSince Oct 21, 2025 Accepting new patients

Locations

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

635 Madison Ave
Fl 1400
New York, NY 10022
Phone (212) 634-4233

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: david.reis@uvvc.eclinicaldirectplus.com
  • Direct secure messaging: dreis@direct.wtbyhosp.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1427132703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 1400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221036",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Greenleaf St Ste E",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313398",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065251925",
            "country_code": "US",
            "telephone_number": "203-980-6811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 N State Rt 17 Ste 202",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522626",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIS",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "029939",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "159882",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NY",
            "license": "159882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "09-45753",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "09-45753",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "208799",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2723932",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3V4063",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "060001509",
            "identifier": "MEDICARE",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00017040",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "716909-H055",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS CT",
            "identifier": "010029939CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3007522/4124373",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA",
            "identifier": "232509",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.