NPIMap

Individual provider Active NPI

Cameron J Hunt Reyes, PA

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1669622791
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
T-02388 Issued in KS
Practice address
10701 Nall Ave
Suite 200
Overland Park, KS 66211-1363
Phone
(913) 631-3114
Fax
(913) 631-5263
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2008029331 MO
Physician Assistant 363A00000X T-02388 KS Primary

Addresses

Primary practice location

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1363

Mailing address

12639 Old Tesson Rd
Suite 100
Saint Louis, MO 63128-2786
Phone (314) 849-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090325000375 KS Practitioner - Physician Assistant 2961569686 Reassigns benefits to 1 organization
I20100817000300 MO Practitioner - Physician Assistant 2961569686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Medical Group of KC PAGroup PAC ID 7618144056, 27 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1358
Phone (913) 381-5225

1800 E Meyer Boulevard
Kansas City, MO 64132-1142
Phone (816) 523-0100

2737 NE McBaine Dr
Suite a
Lees Summit, MO 64064-7880
Phone (913) 381-5225

Hospital & facility affiliations

  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
T-02388KSMDPhysician Assistant
2008029331MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Medical Group of KC, PA CurrentSince Apr 15, 2015 Accepting new patients

Locations

10701 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 381-5225

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

2737 NE McBaine Dr
Ste A
Lees Summit, MO 64064
Phone (913) 381-5225

506 NW Murray Rd
Lees Summit, MO 64081
Phone (816) 525-4400

12639 Old Tesson Rd
Ste 100
Saint Louis, MO 63128

Interoperability endpoints

  • Direct secure messaging: cameron.reyes@kcbj.eclinicaldirectplus.com

Organizations & group practices 2

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 8

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1669622791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111363",
            "telephone_number": "913-631-3114",
            "fax_number": "913-631-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT REYES",
        "first_name": "CAMERON",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2008029331",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T-02388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.