Jose Keyser Reyes, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53379 Issued in CA

Practice address

1625 Tully Road Suite a
San Jose, CA 95122

Phone

(408) 929-0606

Fax

(408) 929-1115

NPI assigned

Jan 19, 2007

Last updated

Feb 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Patrick Home Health Providers, Inc Home health agency, San Jose, CA, CCN 059475

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jose K Reyes MD Inc

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1356928402
  Medicare reassignment NPD Authorized official
• Prime Health Assessment Medical Group Inc

  • Clinic/Center
  • Palm Springs, CA
  • NPI 1164100061
  Medicare reassignment NPD
• Prime Wound & Foot Care Clinic Inc

  • Clinic/Center
  • Palm Springs, CA
  • NPI 1396422671
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Patrick Home Health Providers, Inc.

  • Home Health Agency
  • San Jose, CA
  • NPI 1093089369
  Care Compare affiliation

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1952454274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 TULLY RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222541",
            "telephone_number": "408-929-0606",
            "fax_number": "408-929-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 TULLY ROAD SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-929-0606",
            "fax_number": "408-929-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOSE",
        "middle_name": "KEYSER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A533791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Reyes
• Jess Laraza Reyes, REGISTERED NURSE
• Johnny Reyes, EMT
• Jomelyne Nicole Garcia Reyes
• Jorge Arturo Reyes
• Julianne Reyes, LCSW
• Katreena R Reyes
• Kaylah Mariah Reyes
• Lailani Torquiano Reyes
• Loren Gabriela Reyes

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.