Active NPI
David G Reis
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 029939
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09-45753 | Other | CT | AMERICHOICE |
| 09-45753 | Other | CT | UHC |
| 208799 | Other | CT | WELLCARE |
| P2723932 | Other | CT | OXFORD |
| 3V4063 | Other | CT | HEALTHNET |
| MEDICARE | Other | CT | 060001509 |
| P00017040 | Other | CT | RR MEDICARE |
| 716909-H055 | Other | CT | CONNECTICARE |
| 010029939CT06 | Other | CT | ANTHEM BCBS CT |
| 3007522/4124373 | Other | CT | AETNA |
| 232509 | Other | CT | USA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159882 | NY | MD | Phlebology Physician |
| 029939 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical United PLLC | Multi-Specialty | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Brookview Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Harmony Plastic Surgery PLLC | Multi-Specialty | Current | 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
- david.reis@uvvc.eclinicaldirectplus.com
- 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.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
Multi-Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
CT, Multi-Specialty
-
- Plastic and Reconstructive Surgery Physician
- New York, NY
- NPI 1881212595
Multi-Specialty
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Rego Park, NY
- NPI 1265121693
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.