Organization Active NPI

Homer C. Reyes, M.D., PA

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1447589064
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
H2962 Issued in TX
Legal business name
HOMER C. REYES, M.D., PA
Practice address
7940 Floyd Curl Dr Ste 100
San Antonio, TX 78229-3907
Phone
(210) 297-5520
Fax
(210) 297-0632
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Homer C Reyes, M.D.NPI 1912015660
Title
Owner
Phone
(210) 643-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H2962 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X H2962 TX Primary

Addresses

Primary practice location

7940 Floyd Curl Dr Ste 100
San Antonio, TX 78229-3907

Mailing address

14329 San Pedro Ave Ste C
San Antonio, TX 78232-4389
Phone (210) 494-2744

Other identifiers 1

IdentifierTypeStateIssuer
P00198811OtherTXMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000636 TX Part B Supplier - Clinic/Group Practice 3870636160 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

111 Dallas St
Ste 2C
San Antonio, TX 78205
Phone (210) 297-7520

12000 Starcrest Dr
Ste 101
San Antonio, TX 78247

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1447589064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14329 SAN PEDRO AVE STE C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324389",
            "telephone_number": "210-494-2744",
            "fax_number": "210-494-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293907",
            "telephone_number": "210-297-5520",
            "fax_number": "210-297-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER C. REYES, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-643-4255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2962",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "H2962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00198811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.