DR. REYNALD POULIOT M.D. NPI 1003882069

NPI Information

  • NPI: 1003882069
  • Provider Name: DR. REYNALD POULIOT, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 10D0284502
  • Address: 265B COMMERCIAL BLVD
    LAUDERDALE BY THE SEA, FL
    ZIP 33308
  • Phone: (954) 772-3960

Map and Directions

Get Directions

NPI Details

DR. Reynald Pouliot, M.D. is an obstetrics gynecology in Lauderdale By The Sea, FL with 53 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Reynald Pouliot, M.D. NPI is 1003882069. 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:

265B COMMERCIAL BLVD
LAUDERDALE BY THE SEA, FL
ZIP 33308-442
Phone: (954) 772-3960
Fax: (954) 772-3981

The NPI 1003882069 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 CLIA number assigned to this NPI record is 10D0284502 - physician office with a certificate type of Certificate of Waiver.

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.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 2/28/2006 and was last updated on 5/15/2012.

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 Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyME 36312FLORIDAYes

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
1065023400MEDICAIDFLORIDA
2257650OTHERFLORIDAAVMED
33967705006OTHERFLORIDACIGNA
493842OTHERFLORIDABC/BS OF FL
54421890OTHERFLORIDAAETNA PPO
6E12196MEDICARE UPINFLORIDA
793842MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
807023720OTHERFLORIDAUNITED
92080754OTHERFLORIDAAETNA HMO

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI