Individual provider Active NPI

Michelangelo Perie Reyes, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Prescott, AZ
National Provider Identifier
1437721537
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A195339 Issued in CA
Practice address
1050 Gail Gardner Way Ste 300
Prescott, AZ 86305-1640
Phone
(928) 717-5240
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A195339 CA Primary

Addresses

Primary practice location

1050 Gail Gardner Way Ste 300
Prescott, AZ 86305-1640

Mailing address

1050 Gail Gardner Way Ste 300
Prescott, AZ 86305-1640
Phone (928) 717-5240

Other practice location 1

252 N Highway 65
Lindsay, CA 93247-2702
Phone (559) 525-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240712000609 CA Practitioner - Internal Medicine 0244775484 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Key Medical Associates, Inc. Single Specialty CurrentSince May 14, 2024 Accepting new patients

Locations

3335 S Fairway St
Visalia, CA 93277
Phone (559) 734-1321

Interoperability endpoints

  • Direct secure messaging: michelangelo.reyes.1@31788.direct.athenahealth.com
  • Direct secure messaging: michelangelo.reyes.1@17661.direct.athenahealth.com

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1437721537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 GAIL GARDNER WAY STE 300",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051640",
            "telephone_number": "928-717-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GAIL GARDNER WAY STE 300",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051640",
            "telephone_number": "928-717-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 N Highway 65",
            "address_purpose": "LOCATION",
            "city": "Lindsay",
            "state": "CA",
            "postal_code": "932472702",
            "country_code": "US",
            "telephone_number": "559-525-9097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "MICHELANGELO",
        "middle_name": "PERIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A195339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.