Individual provider Active NPI

David G. Reyes, M.D, FAAFP

  • Family Medicine Physician
  • Rehoboth Beach, DE
National Provider Identifier
1962400390
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CI-00005394 Issued in DE
Practice address
18947 John J Williams Hwy
Rehoboth Beach, DE 19971-4474
Phone
(302) 644-0690
Fax
(302) 644-0695
NPI assigned
Jul 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CI-00005394 DE Primary

Addresses

Primary practice location

18947 John J Williams Hwy
Rehoboth Beach, DE 19971-4474

Mailing address

18947 John J Williams Hwy
Rehoboth Beach, DE 19971-4474
Phone (302) 644-0690

Other identifiers 1

IdentifierTypeStateIssuer
0000874701MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110503000178 DE Practitioner - Family Practice 0648209544 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CI-00005394DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Post Acute Medical Services 1 CurrentSince Jan 15, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
De Pacs 2 PA CurrentSince Jan 15, 2024 Accepting new patients
Signify Health, LLC CurrentSince Nov 16, 2023 Accepting new patients
Integrated Care of Dover PA Family Medicine PastSince Jan 1, 2003 Accepting new patients
Genesis Eldercare Physician Services LLC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1120953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1962400390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714474",
            "telephone_number": "302-644-0690",
            "fax_number": "302-644-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714474",
            "telephone_number": "302-644-0690",
            "fax_number": "302-644-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D, FAAFP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-10",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "CI-00005394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000874701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.