Individual provider Active NPI

Raymond R Reese, M.D.

  • General Practice Physician
  • Cuero, TX
National Provider Identifier
1902842313
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C9110 Issued in TX
Practice address
2500 N Esplanade St
Ste 102
Cuero, TX 77954-4723
Phone
(361) 275-3466
Fax
(361) 275-2431
NPI assigned
Jun 22, 2006
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C9110 TX Primary

Addresses

Primary practice location

2500 N Esplanade St
Ste 102
Cuero, TX 77954-4723

Mailing address

2500 N Esplanade St
Ste 102
Cuero, TX 77954-4723
Phone (361) 275-2463

Other practice location 1

113 W Main St
Kenedy, TX 78119-2717
Phone (830) 583-0627

Other identifiers 4

IdentifierTypeStateIssuer
120302808MedicaidTX
8P9301OtherTXBLUE CROSS BLUE SHIELD OF
120302805MedicaidTX
120302807MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: raymondreese@dmdclinic.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1902842313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N ESPLANADE ST",
            "address_2": "STE 102",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779544723",
            "telephone_number": "361-275-2463",
            "fax_number": "361-275-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N ESPLANADE ST",
            "address_2": "STE 102",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779544723",
            "telephone_number": "361-275-3466",
            "fax_number": "361-275-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 W Main St",
            "address_purpose": "LOCATION",
            "city": "Kenedy",
            "state": "TX",
            "postal_code": "781192717",
            "country_code": "US",
            "telephone_number": "830-583-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "RAYMOND",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "C9110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120302808",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "8P9301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120302805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120302807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuero, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.