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ODIN DELOS REYES D.P.M NPI 1679682249


NPI Information

NPI: 1679682249
Provider Name: ODIN DELOS REYES, D.P.M
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
1 POMPERAUG OFFICE PARK
SUITE 105
SOUTHBURY, CT
ZIP 06488
Phone: (203) 262-6100
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Odin Delos Reyes, D.P.M is a primary podiatric medicine podiatrist in Southbury, CT with 28 years of experience. Odin Delos Reyes, D.P.M NPI is 1679682249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 POMPERAUG OFFICE PARK
SUITE 105
SOUTHBURY, CT
ZIP 06488-295
Phone: (203) 262-6100
Fax: (203) 264-6679

The NPI 1679682249 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of single thickened skin growth (HCPCS:11055)

The enumeration date for this NPI number is 8/29/2006 and was last updated on 4/26/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineCT 000 680CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1480000804MEDICARE PINCONNECTICUT
2U70499MEDICARE UPINCONNECTICUT
34825690001MEDICARE NSCCONNECTICUT
4480026445OTHERCONNECTICUTRAILROAD MEDICARE PIN
5004186947MEDICAIDCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.