Individual provider Active NPI

Javier Reyna, M.D.

  • Cardiovascular Disease Physician
  • Hialeah, FL
National Provider Identifier
1780991547
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME102118 Issued in FL
Practice address
18300 NW 62ND Ave Ste 100
Hialeah, FL 33015-8207
Phone
(305) 749-6203
Fax
(786) 520-3173
NPI assigned
Aug 31, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME108112 FL
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME102118 FL Primary

Addresses

Primary practice location

18300 NW 62ND Ave Ste 100
Hialeah, FL 33015-8207

Mailing address

18300 NW 62ND Ave Ste 100
Hialeah, FL 33015-8207
Phone (305) 749-6203

Other identifiers 1

IdentifierTypeStateIssuer
004485600MedicaidFL

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
I20120203000676 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345331773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reyna Health Trust IncGroup PAC ID 5395912778, 5 clinicians
Echo Readers of East Hialeah IncGroup PAC ID 9931147980, 4 clinicians

Practice addresses (Care Compare)

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

651 E 25 St
Hialeah, FL 33013-3814
Phone (305) 693-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102118FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reyna Health Trust Inc Single Specialty CurrentSince Oct 11, 2011 Accepting new patients
Echo Readers of East Hialeah Inc Single Specialty CurrentSince Jan 21, 2018 Accepting new patients
Reyna Health Trust Inc Single Specialty Current Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

18300 NW 62nd Ave
Ste 100
Miami Gardens, FL 33015
Phone (305) 749-6203

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

5927 SW 70th St
#439031
South Miami, FL 33143

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 2

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1780991547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158207",
            "telephone_number": "305-749-6203",
            "fax_number": "786-520-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158207",
            "telephone_number": "305-749-6203",
            "fax_number": "786-520-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108112",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME102118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004485600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.