Individual provider Active NPI

Carolyn Reyes

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1801912928
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G69577 Issued in CA
Practice address
1792 Tribute Rd Ste 200
Sacramento, CA 95815-4320
Phone
(916) 678-5400
Fax
(916) 678-7663
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 0101248706 VA
Maternal & Fetal Medicine Physician 207VM0101X MD043821 DC
Maternal & Fetal Medicine Physician 207VM0101X G69577 CA Primary

Addresses

Primary practice location

1792 Tribute Rd Ste 200
Sacramento, CA 95815-4320

Mailing address

9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5700

Other practice location 1

5406 Center St
Chevy Chase, MD 20815-7101
Phone (240) 507-0370

Other practice location 2

5406 Center St
Chevy Chase, MD 20815-7101
Phone (240) 507-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171018003084 CA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 4284802471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-3588

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69577CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Maternal & Fetal Medicine CurrentSince Apr 27, 2020 Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2021 Accepting new patients
Valley Children'S Medical Group CurrentSince Sep 25, 2017 Accepting new patients
Regents of the Univ of Ca CurrentSince Apr 27, 2020 Accepting new patients
Valley Children'S Hospital Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Providence Health & Services Oregon PastSince Jan 1, 2014 Accepting new patients
Pacmed Clinics PastSince Jul 1, 2016 Accepting new patients
Providence Health & Services Washington PastSince Jan 1, 2014 Accepting new patients
Providence Health & Services Washington PastSince Jan 1, 2014 Accepting new patients
Essent PRMC LP Past Accepting new patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Providence Imaging Center PastSince Jan 1, 2014 Accepting new patients

Locations

9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

1792 Tribute Rd
Ste 200
Sacramento, CA 95815
Phone (916) 678-5400

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

1111 Exposition Blvd
Ste 200
Sacramento, CA 95815
Phone (877) 736-6888

4860 Y St
Ste 2500
Sacramento, CA 95817
Phone (916) 734-6930

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

5757 Pacific Ave
Stockton, CA 95207
Phone (877) 736-6888

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801912928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # SC05",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5700",
            "fax_number": "559-353-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 TRIBUTE RD STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154320",
            "telephone_number": "916-678-5400",
            "fax_number": "916-678-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5406 Center St",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208157101",
            "country_code": "US",
            "telephone_number": "240-507-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5406 Center St",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208157101",
            "country_code": "US",
            "telephone_number": "240-507-0370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "VA",
            "license": "0101248706",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "DC",
            "license": "MD043821",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G69577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.