Adam Reyes, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2981 Issued in ID

Practice address

1209 N Summerbrook Ave Ste 100
Meridian, ID 83642-8750

Phone

(208) 938-5823

NPI assigned

Jun 21, 2016

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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho Ear Clinic PLLCGroup PAC ID 2668703687, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Idaho Ear Clinic, PLLC

  • Otology & Neurotology Physician
  • Meridian, ID
  • NPI 1154976983
  Medicare reassignment Care Compare group NPD
• Swient, LLC

  • Radiology Clinic/Center
  • Boise, ID
  • NPI 1629031760
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1669822672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N SUMMERBROOK AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428749",
            "telephone_number": "208-938-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N SUMMERBROOK AVE STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428750",
            "telephone_number": "208-938-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ADAM",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "2981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilience Counseling, LLC
• Restorative Women'S Wellness, LLC
• Restoring Hope - Healing From Trauma and Addiction
• Retina Consultants of Idaho, PLLC
• Helene F Reusser, CNM
• Romona F Reyes
• Alexander Lawrence Reynolds, D.O.
• Bryanna Mae Reynolds
• Catherine J Reynolds, MD
• Diana Reynolds

• Audiologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Audiologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.