Maria Mendoza Reyes, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33484 Issued in KY

Practice address

1001 Cherry Blossom Way
Georgetown, KY 40324-9564

Phone

(502) 868-4961

Fax

(502) 868-4998

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mariagenalyn Mendoza Reyes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• JMHC Inc

  • Rural Health Clinic/Center
  • Carlisle, KY
  • NPI 1093042038
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1720147994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 WALNUT GROVE RD",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403119233",
            "telephone_number": "859-749-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHERRY BLOSSOM WAY",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249564",
            "telephone_number": "502-868-4961",
            "fax_number": "502-868-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARIA",
        "middle_name": "MENDOZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAGENALYN",
            "last_name": "REYES",
            "middle_name": "MENDOZA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth A Regan, LCPM
• John H Reid, D.M.D.
• Todd D Reinhart, MD
• Sara Reno
• Krista Reyes
• Caitlyn Michelle Richardson
• William W. Richardson II, M.D.
• Allison Riddle
• Jennifer S. Riebel, M.D.
• Morgan N Riley, APRN

• Internal Medicine Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.