Individual provider Active NPI

Roberto Cisneros Reyna, M.D.

  • Internal Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1639250558
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19524 Issued in WV
Practice address
65 Health Care LN
Martinsburg, WV 25401-4006
Phone
(304) 263-6997
Fax
(304) 263-8827
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19524 WV Primary

Addresses

Primary practice location

65 Health Care LN
Martinsburg, WV 25401-4006

Mailing address

65 Health Care LN
Martinsburg, WV 25401-4006
Phone (304) 263-6997

Other identifiers 1

IdentifierTypeStateIssuer
0082008000MedicaidWV

Other names 1

  • Roberto Reyna Cisneros Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rreyna20147@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address rreyna20147@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100826000111 WV Practitioner - Internal Medicine 8022068477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

61 Campus Dr
Martinsburg, WV 25404-7542

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Physicians Inc CurrentSince Jul 5, 2018 Accepting new patients
University Healthcare Physicians, Inc. Internal Medicine CurrentSince Jul 5, 2018 Accepting new patients
West Virginia University Medical Corporation Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

65 Health Care Ln
Martinsburg, WV 25401
Phone (304) 263-6997

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: rreyna20147@direct.wvuhsdirect.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1639250558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014006",
            "telephone_number": "304-263-6997",
            "fax_number": "304-263-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014006",
            "telephone_number": "304-263-6997",
            "fax_number": "304-263-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ROBERTO",
        "middle_name": "CISNEROS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082008000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rreyna20147@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "65 Health Care Ln",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254014006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rreyna20147@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "65 Health Care Ln",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254014006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "CISNEROS",
            "middle_name": "REYNA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.