Individual provider Active NPI

Ysabel Viviana Reyes, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1790722098
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11812 Issued in RI
Practice address
2710 Nogalitos
San Antonio, TX 78225-1750
Phone
(210) 436-8400
Fax
(833) 452-1052
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD11812 RI
Internal Medicine Physician 207R00000X MD11812 RI Primary

Addresses

Primary practice location

2710 Nogalitos
San Antonio, TX 78225-1750

Mailing address

2710 Nogalitos
San Antonio, TX 78225-1750
Phone (210) 436-8400

Other practice location 1

114 Pilgrim Ave
Coventry, RI 02816-4213
Phone (401) 345-0896

Other identifiers 1

IdentifierTypeStateIssuer
9004256MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ysabel.reyes.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191217002187 TX Practitioner - Internal Medicine 7315971157 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G. Szewc, M.D., P.a. CurrentSince Dec 1, 2019 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Hospitalist Past Accepting new patients

Locations

315 N San Saba
Ste 102
San Antonio, TX 78207
Phone (210) 224-1079

915 S Laredo St
#200
San Antonio, TX 78204
Phone (210) 798-1965

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1790722098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 NOGALITOS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782251750",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 NOGALITOS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782251750",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Pilgrim Ave",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028164213",
            "country_code": "US",
            "telephone_number": "401-345-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "YSABEL",
        "middle_name": "VIVIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "RI",
            "license": "MD11812",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD11812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004256",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ysabel.reyes.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "2710 Nogalitos",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782251750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.