Reyes Ismael Cuevas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2015-0201 Issued in NM

Practice address

3485 Northrise Dr Ste a
Las Cruces, NM 88011-6839

Phone

(575) 382-2149

Fax

(575) 382-2187

NPI assigned

May 18, 2011

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Paso County Hospital District

  dba University Medical Center of EL Paso

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1316936990

  Family Medicine

  Medicare reassignment NPD
• Virta Medical P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1093225138

  TX

  Medicare reassignment
• El Paso County Hospital District

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1619747938
  NPD
• Familycare Associates,PA

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1821161407
  NPD (past)
• Chuck R. Colas, D.O., P.C.

  • Family Medicine Physician
  • Cedarville, CA
  • NPI 1861022873
  NPD (past)
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1114382918

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1619260064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 NORTHRISE DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880116839",
            "telephone_number": "575-382-2149",
            "fax_number": "575-382-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 NORTHRISE DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880116839",
            "telephone_number": "575-382-2149",
            "fax_number": "575-382-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "REYES",
        "middle_name": "ISMAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2015-0201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72545",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reyes.cuevas.4@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3485 Northrise Dr Ste A",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880116839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystallize Clinical Massage LLC
• CSL-Las Cruces LLC (Desert Peaks)
• Patricia E. Cubilette, CNP
• Brenda Cuellar de Orellana, M.D
• Eduina Cuellar, LMT
• Patricia A Cullen, PT
• Kathleen Cullum
• Jennifer Cummings, M.A., BCBA
• Lola Cunico, RN, CDE,BS
• Kathryn Michelle Cunningham, LPC

• Family Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.