Individual provider Active NPI

Reyes R Topete, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1487611158
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
22381 Issued in AZ
Practice address
3145 E Chandler Blvd
Ste 110 PMB 437
Phoenix, AZ 85048-8702
Phone
(623) 680-0096
Fax
(866) 761-1196
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 22381 AZ Primary

Addresses

Primary practice location

3145 E Chandler Blvd
Ste 110 PMB 437
Phoenix, AZ 85048-8702

Mailing address

3145 E Chandler Blvd
Ste 110 PMB 437
Phoenix, AZ 85048-8702
Phone (623) 680-0096

Other identifiers 1

IdentifierTypeStateIssuer
335720MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040421000443 AZ Practitioner - Addiction Medicine 3274529813
I20240604001304 TX Practitioner - Internal MedicinePractitioner - Addiction Medicine 3274529813 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince May 9, 2024 Accepting new patients
Imani Wellness LLC CurrentSince May 23, 2024 Accepting new patients
Gila River Health Care Corporation CurrentSince May 9, 2024 Accepting new patients
Cornerstone to Life LLC PastSince Aug 28, 2022 Accepting new patients
Community Bridges, Inc. PastSince Jun 21, 2022 Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Community Bridges, Inc. PastSince Jul 17, 2022 Accepting new patients
Med 97 LLC Past Accepting new patients

Locations

250 W Pinkley Ave
Coolidge, AZ 85128
Phone (515) 419-5096

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

Organizations & group practices 10

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1487611158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 E CHANDLER BLVD",
            "address_2": "STE 110 PMB 437",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488702",
            "telephone_number": "623-680-0096",
            "fax_number": "866-761-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 E CHANDLER BLVD",
            "address_2": "STE 110 PMB 437",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488702",
            "telephone_number": "623-680-0096",
            "fax_number": "866-761-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPETE",
        "first_name": "REYES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "22381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335720",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.