Reyna Lynn Cuellar, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

40187 Issued in AZ

Practice address

965 W Chandler Heights Rd
Chandler, AZ 85248-5724

Phone

(480) 460-4949

Fax

(480) 460-5858

NPI assigned

Jun 23, 2008

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Reyna Lynn Fuentes Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDGBAA

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.

• Phoenix Children's Hospital

  dba Phoenix Children's Medical Group

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Desert Shores Pediatrics

  • Pediatrics Physician
  • Gilbert, AZ
  • NPI 1124386487
  NPD
• Phoenix Children's Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1821259763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984262",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 W CHANDLER HEIGHTS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485724",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6285 S Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852984262",
            "country_code": "US",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "REYNA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "40187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REYNA",
            "last_name": "FUENTES",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Cryer
• Crystal Cove Eye Consultants, LLC
• CSL-Chandler, LLC (Pennington Gardens Assisted Living & Memory Care)
• Laura Cubas, MS
• Daniel Jeremy Cucher, MD
• Cirina J. Culberson, CRNFA
• Luann Frances Cullen, NMD
• Randy Scott Cullimore, DDS
• Shaun R Cullimore, D.M.D.
• Travis R. Cullimore, D.D.S.

• Pediatrics Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.