KIM MARIE REYES M.D. NPI 1548203748

NPI Information

NPI: 1548203748
Provider Name: KIM MARIE REYES, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1180 NEWFIELD AVE
STAMFORD, CT
ZIP 06905
Phone: (314) 888-5233
Get Directions

Kim Marie Reyes, M.D. is a general practice in Stamford, CT with 34 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Kim Marie Reyes, M.D. NPI is 1548203748. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1180 NEWFIELD AVE
STAMFORD, CT
ZIP 06905-409
Phone: (314) 888-5233
Fax: (203) 590-8644

The NPI 1548203748 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	174400000X	Specialist	G71574	CALIFORNIA	No
2	207V00000X	Obstetrics & Gynecology	274956	NEW YORK	No
3	207V00000X	Obstetrics & Gynecology	MD2015-0941	NEW MEXICO	No
4	208D00000X	General Practice	274956	NEW YORK	No
5	208D00000X	General Practice	0101266425	VIRGINIA	No
6	208D00000X	General Practice	G071574	CALIFORNIA	No
7	208D00000X	General Practice	06221	CONNECTICUT	No
8	208D00000X	General Practice	MD461619	PENNSYLVANIA	No
9	208D00000X	General Practice	R0309	TEXAS	No
10	208D00000X	General Practice	49440	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02223040	MEDICAID	NEW MEXICO
2	00G715742	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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