David Antonio Reyes Umpierrez, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

78115 Issued in GA

Practice address

1800 Howell Mill Road NW
Suite 450
Atlanta, GA 30318-2508

Phone

(404) 355-4393

Fax

(404) 609-7665

NPI assigned

Jun 13, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Merit-based Incentive Payment System (MIPS)

Final score

95.54 of 100Reported as group

Quality

97.79

Promoting interoperability

100

Improvement activities

40

Cost

78.68

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atlanta Diabetes Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Atlanta, GA
  • NPI 1366492282
  Medicare reassignment NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment NPD
• Van Meter Pediatric Endocrinology

  dba Atlanta Diabetes Associates

  • Pediatric Endocrinology Physician
  • Atlanta, GA
  • NPI 1487967360
  NPD

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1437411592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL ROAD NW",
            "address_2": "SUITE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "404-355-4393",
            "fax_number": "404-609-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL ROAD NW",
            "address_2": "SUITE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "404-355-4393",
            "fax_number": "404-609-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011766",
            "country_code": "US",
            "telephone_number": "732-745-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES UMPIERREZ",
        "first_name": "DAVID",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "78115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003193995A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revive Counseling & Consulting, LLC
• Revive Healing & Wellness Institute, LLC.
• Revive Private Care
• Revora Health LLC
• James C Rewis, MD
• Lisa Marie Reyes-Walsh, FNP-BC, PMHNP-BC
• Carmela Reyes, FNP
• Caroline Reyes
• Crystal Del Carmen Reyes, LMT
• Ian Seth Reyes, LCPO

• Endocrinology, Diabetes & Metabolism Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.