Active NPI
Alexandria R. Reyes, DO
- Obstetrics & Gynecology Physician
- Tampa, FL
National Provider Identifier
1861659708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS12517
- Practice address
- 3216 W Azeele St Ste 2
Tampa, FL 33609-3018 - Phone
- (813) 773-6627
- Fax
- (813) 443-6001
- NPI assigned
- May 19, 2008
- Last updated
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS12517 | FL | Primary |
Addresses
Primary practice location
3216 W Azeele St Ste 2
Tampa, FL 33609-3018
Mailing address
3216 W Azeele St Ste 2
Tampa, FL 33609-3151
Phone (813) 773-6627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 9, 2024 through Sep 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Interoperability endpoints
- alexandria.reyes.1@22799.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Magnolia Gynecology
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1063024149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1861659708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 W AZEELE ST STE 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093151",
"telephone_number": "813-773-6627",
"fax_number": "813-443-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 W AZEELE ST STE 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093018",
"telephone_number": "813-773-6627",
"fax_number": "813-443-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ALEXANDRIA",
"middle_name": "R.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS12517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.