Individual provider Active NPI

Robert M. Reyna, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1477620284
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
MD6026881 Issued in WA
Practice address
5701 W Charleston Blvd Ste 105
Las Vegas, NV 89146-1256
Phone
(702) 877-9514
Fax
(702) 312-3510
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X MD6026881 WA Primary
Sleep Medicine (Family Medicine) Physician 207QS1201X 13011 NV

Addresses

Primary practice location

5701 W Charleston Blvd Ste 105
Las Vegas, NV 89146-1256

Mailing address

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1300

Other identifiers 1

IdentifierTypeStateIssuer
1477620284MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20090423000707 NV Practitioner - Sleep MedicinePractitioner - Pediatric Medicine 5698836450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Pediatric Medicine
Education
University of California, San Francisco School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rd Prabhu-Lata K Shete MDS LTDGroup PAC ID 8820994791, 13 clinicians

Practice addresses (Care Compare)

5701 W Charleston Blvd
Suite 100
Las Vegas, NV 89146-1256
Phone (702) 877-9514

Merit-based Incentive Payment System (MIPS)

Final score
27.24 of 100Reported as group
Quality
10
Improvement activities
0
Cost
70.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13011NVMDSleep Medicine (Family Medicine) Physician
MD6026881WAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rd Prabhu-Lata K Shete MDS LTD Current Accepting new patients
Rd Prabhu-Lata K Shete MDS LTD CurrentSince Mar 16, 2019 Accepting new patients
Rd Pabhu-Latak Shete MD'S LTD CurrentSince Mar 16, 2019 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients

Locations

2920 N Green Valley Pkwy
Ste 3
Henderson, NV 89014
Phone (702) 818-2444

5701 W Charleston Blvd
Ste 207
Las Vegas, NV 89146
Phone (702) 240-8318

5751 S Fort Apache Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 586-0007

5751 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 818-2444

5701 W Charleston Blvd
Ste 105
Las Vegas, NV 89146
Phone (702) 643-0500

5701 W Charleston Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 877-9514

1905 Civic Center Dr
North Las Vegas, NV 89030
Phone (702) 475-8874

1360 E Nevada Highway 372
Ste 2
Pahrump, NV 89048
Phone (702) 818-2444

Organizations & group practices 5

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1477620284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212562",
            "telephone_number": "360-299-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461256",
            "telephone_number": "702-877-9514",
            "fax_number": "702-312-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD6026881",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NV",
            "license": "13011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477620284",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.