REENA R PATEL MD INC
NPI 1063824183
Family Medicine in South Pasadena, CA

Active since May 22, 2014CLIA 05D2081177 · Waiver
1108 FREMONT AVE, SOUTH PASADENA, CA 91030(626) 765-7852(626) 606-3952 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Reena R Patel Md Inc NPPES

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

REENA R PATEL MD INC (NPI 1063824183) is a healthcare organization registered as a family medicine in South Pasadena, California and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Reena R Patel, Family Medicine/owner, as its authorized official.

NPPES Registry Identity

NPI1063824183
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREENA R PATEL MD INC
Location Address1108 FREMONT AVESouth Pasadena, CA 91030-3227
Mailing Address720 W El Molino StBloomington, CA 92316-2151 · (909) 991-5072
Fax(626) 606-3952
Organization SubpartNo
Authorized OfficialReena R PatelFamily Medicine/owner · (909) 991-5072
Enumeration DateMay 22, 2014
✔ NPI 1063824183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A109224
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1108 FREMONT AVE, South Pasadena, CA 91030

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reena R Patel Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20140918000548Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reena R Patel MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1194958256
830 S MYRTLE AVE
Monrovia, CA 91016
(626) 765-7852
✔ PECOS✔ Accepts Medicare8.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2081177

Reena R Patel MD Inc · Monrovia, CA
Active · expires Jul 20, 2028
CLIA Number05D2081177
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorReena R. Patel, MD
Laboratory Phone(626) 765-7852
Laboratory LocationReena R Patel MD Inc830 S Myrtle Ave, Monrovia, CA 91016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Reena R Patel MD Inc's NPI number?

The NPI number for Reena R Patel MD Inc is 1063824183. It was assigned to this organization in the NPPES registry on May 22, 2014.

Where is Reena R Patel MD Inc located?

Reena R Patel MD Inc is located at 1108 Fremont Ave, South Pasadena, CA 91030. The listed phone number is (626) 765-7852.

What is Reena R Patel MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Reena R Patel MD Inc enrolled in Medicare?

Yes. Reena R Patel MD Inc is registered in the Medicare PECOS enrollment system.

When is Reena R Patel MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Reena R Patel MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Reena R Patel MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Reena R Patel MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2081177) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reena R Patel MD Inc was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.