Individual provider Active NPI

Desiree Mary Reyes, DPM

  • Podiatrist
  • Newport News, VA
National Provider Identifier
1730413584
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301123 Issued in VA
Practice address
439 Youngs Mill LN
Newport News, VA 23602-9002
Phone
(757) 884-8098
Fax
(757) 884-8099
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103301123 VA Primary

Addresses

Primary practice location

439 Youngs Mill LN
Newport News, VA 23602-9002

Mailing address

PO Box 2553
Newport News, VA 23609-0553
Phone (443) 735-7542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150109001439 VA Practitioner - Podiatry 4082885694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

818 Greystone Trce
Newport News, VA 23602-9457
Phone (443) 735-7542

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Podiatry Podiatric CurrentSince Dec 5, 2015 Accepting new patients
James a Rano DPM LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: desiree.reyes.1@12812.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1730413584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2553",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236090553",
            "telephone_number": "443-735-7542",
            "fax_number": "757-884-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 YOUNGS MILL LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029002",
            "telephone_number": "757-884-8098",
            "fax_number": "757-884-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DESIREE",
        "middle_name": "MARY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.