Individual provider Active NPI

Ricardo R Reyes, MD

  • Infectious Disease Physician
  • Oakland Park, FL
National Provider Identifier
1720040041
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0054512 Issued in FL
Practice address
5333 N Dixie Hwy
Suite 205
Oakland Park, FL 33334-3454
Phone
(954) 772-3544
Fax
(954) 772-3545
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0054512 FL Primary

Addresses

Primary practice location

5333 N Dixie Hwy
Suite 205
Oakland Park, FL 33334-3454

Mailing address

5333 N Dixie Hwy
Suite 205
Oakland Park, FL 33334-3454
Phone (954) 772-3544

Other identifiers 1

IdentifierTypeStateIssuer
049011301MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040515000419 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 7719977347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0054512FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc CurrentSince Oct 1, 2024 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Oct 1, 2024 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation PastSince Jan 1, 2004 Accepting new patients

Locations

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

1402 NE 26th St
Wilton Manors, FL 33305
Phone (954) 563-3767

Interoperability endpoints

  • Direct secure messaging: rreyes2022644@direct.trinity-health.org
  • Direct secure messaging: ricardo.reyes.1@16705.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1720040041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 205",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343454",
            "telephone_number": "954-772-3544",
            "fax_number": "954-772-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 205",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343454",
            "telephone_number": "954-772-3544",
            "fax_number": "954-772-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "RICARDO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0054512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049011301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.