Reyes Family Medicine, PLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REYES FAMILY MEDICINE, PLC

Practice address

910 S Priest Dr
Tempe, AZ 85281-5233

Phone

(480) 967-7821

Fax

(480) 697-1247

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Martha L Reyes, MDNPI 1093899643

Title

Manager

Phone

(480) 967-7821

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha L Reyes, MD

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1093899643
  Medicare reassignment NPD Authorized official
• Jane E Stevenson, PA

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1285885863
  Medicare reassignment

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1972899284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S PRIEST DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815233",
            "telephone_number": "480-967-7821",
            "fax_number": "480-697-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S PRIEST DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815233",
            "telephone_number": "480-967-7821",
            "fax_number": "480-697-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES FAMILY MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-967-7821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revamp Wellness Center
• Revive Community Health
• Revive Hive LLC
• Revive Physical Therapy and Wellness, PLLC
• Jascelyn Ann Revland, M.A.
• James A Reyes
• Martha L Reyes, MD
• Ricardo Reyes Jr.
• Rochelle Reyes, R.N
• Sofia Sylvia Reyes

• Primary Care Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.