Individual provider Active NPI

Keyla Reyes Denis

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1801579065
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311325 Issued in NY
Practice address
919 Westfall Rd Ste 100
Rochester, NY 14618-2628
Phone
(585) 758-0002
NPI assigned
Aug 14, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311325 NY Primary
Registered Nurse 163W00000X 723829-01 NY

Addresses

Primary practice location

919 Westfall Rd Ste 100
Rochester, NY 14618-2628

Mailing address

919 Westfall Rd Ste 100
Rochester, NY 14618-2628
Phone (585) 758-0002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115002691 NY Practitioner - Nurse Practitioner 5496102220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

6136 170TH St
Fresh Meadows, NY 11365-1900
Phone (718) 709-0940

7810 164TH St
Fresh Meadows, NY 11366-1229
Phone (718) 709-0940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
723829-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
U of R Neurology Department CurrentSince Dec 1, 2023 Accepting new patients
My Medical PC CurrentSince Dec 15, 2024 Accepting new patients
University of Rochester CurrentSince Dec 1, 2023 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Dec 1, 2023 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Peyman Younesi MD PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (516) 641-8482

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#278911
Rochester, NY 14642

919 Westfall Rd
Bldg C
Rochester, NY 14618
Phone (585) 273-5454

919 Westfall Rd
Ste 100
Rochester, NY 14618
Phone (585) 454-6610

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1801579065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182628",
            "telephone_number": "585-758-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182628",
            "telephone_number": "585-758-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES DENIS",
        "first_name": "KEYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311325",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "723829-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.