Individual provider Active NPI

Reginald Douglas Hughes, M.D.

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1619047958
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218738 Issued in NY
Practice address
13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone
(718) 657-7093
Fax
(718) 558-5314
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218738 NY Primary

Addresses

Primary practice location

13303 Jamaica Ave
Jamaica, NY 11418-2618

Mailing address

12035 142ND St
Jamaica, NY 11436-1412
Phone (917) 862-2864

Other identifiers 1

IdentifierTypeStateIssuer
218738OtherNYNYS MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AL2 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
I20050103000967 NY Practitioner - Family Practice 9133187412 Reassigns benefits to 5 organizations
I20240510002193 AL Practitioner - Family Practice 9133187412

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

13130 Merrick Blvd
Jamaica, NY 11434-4134
Phone (718) 233-2556

3052 Brighton 1St St
Suite 502
Brooklyn, NY 11235-8088
Phone (888) 496-5115

3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550

369 E 148TH St
Bronx, NY 10455-4041
Phone (646) 759-4440

535 5TH Ave
FL 4
New York, NY 10017-8020
Phone (888) 496-5115

Merit-based Incentive Payment System (MIPS)

Final score
20.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doc at Home Medical, P.C. Family Medicine CurrentSince Dec 31, 2019 Accepting new patients
JD & Iy Corp CurrentSince Feb 18, 2021 Accepting new patients
Prestige Y Corp CurrentSince Dec 1, 2022 Accepting new patients
Union Square Medical Imaging and Mammography PC Past Accepting new patients
Boro Medical, P.C. Family Medicine Past Accepting new patients

Locations

369 E 148th St
Bronx, NY 10455
Phone (718) 585-2153

201 Highlawn Ave
Brooklyn, NY 11223
Phone (718) 872-6607

13130 Merrick Blvd
Jamaica, NY 11434
Phone (718) 233-2556

535 5th Ave
Fl 4
New York, NY 10017
Phone (401) 324-9100

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rhughes4014@direct.medisys.org

Organizations & group practices 9

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619047958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 142ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361412",
            "telephone_number": "917-862-2864",
            "fax_number": "866-223-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182618",
            "telephone_number": "718-657-7093",
            "fax_number": "718-558-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "REGINALD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LICENSE",
            "identifier": "218738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.