DR. REYNALD POULIOT M.D.
NPI 1003882069
Obstetrics & Gynecology in Lauderdale By The Sea, FL

Q: What is Reynald Pouliot's NPI number?

The NPI number for Reynald Pouliot is 1003882069. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Reynald Pouliot's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Reynald Pouliot was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0284502 · Waiver

265B COMMERCIAL BLVD, LAUDERDALE BY THE SEA, FL 33308(954) 772-3960(954) 772-3981 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Reynald Pouliot M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REYNALD POULIOT M.D. (NPI 1003882069) is an individual obstetrics & gynecology provider in Lauderdale By The Sea, Florida, licensed in Florida (ME 36312) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 12, 2028, and is affiliated with Holy Cross Hospital.

NPPES Registry Identity

NPI1003882069

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. REYNALD POULIOTCredential: M.D.

Location Address265B COMMERCIAL BLVDLauderdale By The Sea, FL 33308-4442

Mailing Address265b Commercial BlvdLauderdale By The Sea, FL 33308-4442 · (954) 772-3960 · Fax (954) 772-3981

Phone(954) 772-3960

Fax(954) 772-3981

Sole ProprietorYes

Medical School CMSOtherGraduated 1972

Enumeration DateFebruary 28, 2006

Last NPPES UpdateMay 15, 2012

✔ NPI 1003882069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME 36312

Definition

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.

265B COMMERCIAL BLVD, Lauderdale By The Sea, FL 33308

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Other Identifiers 9

Medicaid065023400FL

Other257650FL · Avmed

Other3967705006FL · Cigna

Other93842FL · Bc/bs Of Fl

Other4421890FL · Aetna Ppo

Medicare UPINE12196FL

Medicare ID-Type Unspecified93842FL

Other07023720FL · United

Other2080754FL · Aetna Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Reynald Pouliot M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769472083

PECOS Enrollment IDI20040517001340

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0284502

Reynald Pouliot MD · Lauderdale By The Sea, FL

Active · expires Feb 12, 2028

CLIA Number10D0284502

Laboratory TypePhysician Office

Certificate Effective DateFebruary 13, 2026

Certificate Expiration DateFebruary 12, 2028

Laboratory DirectorReynald Pouliot MD

Laboratory Phone(954) 772-3960

Laboratory LocationReynald Pouliot MD265-B Commercial Blvd, Lauderdale By The Sea, FL 33308

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

38 services38 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

29 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100073

Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reynald Pouliot's NPI number?

The NPI number for Reynald Pouliot is 1003882069. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Reynald Pouliot located?

Reynald Pouliot practices at 265B Commercial Blvd, Lauderdale By The Sea, FL 33308. The listed phone number is (954) 772-3960.

What is Reynald Pouliot's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Reynald Pouliot enrolled in Medicare?

Yes. Reynald Pouliot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Reynald Pouliot hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0284502) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Reynald Pouliot accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Reynald Pouliot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Reynald Pouliot affiliated with any hospitals?

According to CMS data, Reynald Pouliot is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Reynald Pouliot was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.