Individual provider Active NPI

Amaro S Reyes-Garza, M.D.

  • Psychiatry Physician
  • Lancaster, PA
National Provider Identifier
1609956911
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD040928L Issued in PA
Practice address
545 Pershing Ave
Lancaster, PA 17602-4369
Phone
(717) 293-4150
Fax
(717) 399-4289
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD040928L PA Primary

Addresses

Primary practice location

545 Pershing Ave
Lancaster, PA 17602-4369

Mailing address

545 Pershing Ave
Lancaster, PA 17602-4369
Phone (717) 293-4150

Other identifiers 1

IdentifierTypeStateIssuer
001813132MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040114000046 PA Practitioner - Psychiatry 7719888718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Directions Treatment ServicesGroup PAC ID 1456344308, 2 clinicians

Practice addresses (Care Compare)

832 N Park Rd
1 Park Plaza
Wyomissing, PA 19610-1307
Phone (610) 750-6130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Services Group, Inc. PastSince Oct 1, 2002 Accepting new patients
Tower Health Medical Group Past Accepting new patients
Citizen'S Acting Together Can Help, Inc. Past Accepting new patients
Berks Counseling Center, Inc. PastSince Jul 24, 2022 Accepting new patients

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1609956911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PERSHING AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024369",
            "telephone_number": "717-293-4150",
            "fax_number": "717-399-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PERSHING AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024369",
            "telephone_number": "717-293-4150",
            "fax_number": "717-399-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-GARZA",
        "first_name": "AMARO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD040928L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001813132",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.