DR. CHRISTOPHER DAVID BERREZUETA REINOSO MD
NPI 1164916417
Family Medicine in Lakeland, FL

Q: What is Christopher Berrezueta Reinoso's NPI number?

The NPI number for Christopher Berrezueta Reinoso is 1164916417. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Christopher Berrezueta Reinoso's specialty?

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

Active since June 20, 2018PECOS Enrolled

206 N FLORIDA AVE, LAKELAND, FL 33801(863) 209-7003(863) 284-3083 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2020, Dec 10, 2019, Oct 28, 2019 and 3 more (6 updates tracked since 2018).

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About Dr. Christopher David Berrezueta Reinoso Md NPPES

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

DR. CHRISTOPHER DAVID BERREZUETA REINOSO MD (NPI 1164916417) is an individual family medicine provider in Lakeland, Florida, licensed in Florida (ME147239) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164916417

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHRISTOPHER DAVID BERREZUETA REINOSOCredential: MD

Location Address206 N FLORIDA AVELakeland, FL 33801-4902

Mailing Address1605 N Cedar Crest Blvd Ste 411Allentown, PA 18104-2323 · (610) 969-1917 · Fax (484) 664-7659

Phone(863) 209-7003

Fax(863) 284-3083

Sole ProprietorYes

Enumeration DateJune 20, 2018

Last NPPES UpdateOctober 7, 20206 updates tracked since enumeration

NPPES CertifiedOctober 7, 2020

✔ NPI 1164916417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME147239

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.

206 N FLORIDA AVE, Lakeland, FL 33801

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Secondary Practice Locations 2

Location 11200 S Cedar Crest Blvd # 2Allentown, PA 18103 · Phone (610) 402-8000

Location 21605 N Cedar Crest Blvd Ste 411Allentown, PA 18104-2323 · Phone (610) 969-1917 · Fax (484) 664-7659

Other Identifiers 1

Other6940524PR · Driven Licence

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Christopher David Berrezueta Reinoso Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Christopher Berrezueta Reinoso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dedicated Senior Medical Center Of Florida, LLC

30 mi

Specialist

1901 FLETCHER AVENUE
Tampa, FL 33612

Reassigned Medicare billing, Florida enrollment
348 clinicians in this Medicare group

NPI 1700393881 (305) 628-6117

Lehigh Valley Physician Group

918 mi

Family Medicine

121 N TULPEHOCKEN ST
Pine Grove, PA 17963

Reassigned Medicare billing, Pennsylvania enrollment
2,895 clinicians in this Medicare group

NPI 1437911807 (570) 345-2345

Signify Health Medical Associates, PLLC

949 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Pennsylvania enrollment
553 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33801 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIJAY VAGHASIYA MD

Internal Medicine