Active NPI
Robert M. Reyna, M.D.
- Sleep Medicine (Family Medicine) Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- MD6026881
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477620284 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- University of California, San Francisco School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 10
- Improvement activities
- 0
- Cost
- 70.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13011 | NV | MD | Sleep Medicine (Family Medicine) Physician |
| MD6026881 | WA | MD | Sleep Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rd Prabhu-Lata K Shete MDS LTD | Current | Accepting new patients | |
| Rd Prabhu-Lata K Shete MDS LTD | Current | Accepting new patients | |
| Rd Pabhu-Latak Shete MD'S LTD | Current | 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.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1912995309
-
- Sleep Disorder Diagnostic Clinic/Center
- Pahrump, NV
- NPI 1497304331
-
- Sleep Disorder Diagnostic Clinic/Center
- Henderson, NV
- NPI 1790144897
-
- Rehabilitation Hospital Unit
- Las Vegas, NV
- NPI 1568439693
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1164447850
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.