Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. REY AGATEP D.O.
NPI 1174936207
Pediatrics in Truckee, CA

Q: What is Rey Agatep's NPI number?

The NPI number for Rey Agatep is 1174936207. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Q: What is Rey Agatep's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rey Agatep was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 June 06, 2014PECOS Enrolled

10121 PINE AVE, TRUCKEE, CA 96161(530) 582-6627 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2026, Mar 16, 2023, Jul 12, 2021 and 1 more (4 updates tracked since 2021).

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About Dr. Rey Agatep D.o. NPPES

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

DR. REY AGATEP D.O. (NPI 1174936207) is an individual pediatrics provider in Truckee, California, licensed in California (20A19401) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1174936207

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. REY AGATEPCredential: D.O.

Location Address10121 PINE AVETruckee, CA 96161-4856

Mailing Address10121 Pine AveTruckee, CA 96161-4856

Phone(530) 582-6627

Sole ProprietorNo

Enumeration DateJune 6, 2014

Last NPPES UpdateOctober 23, 20264 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1174936207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · 20A19401✔ Licensed in WA · OP60666398✔ Licensed in NV · DO2818

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10121 PINE AVE, Truckee, CA 96161

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Secondary Practice Locations 4

Location 11 Jarrett White Rd, Tripler Army Medical CenterTripler Army Medical Center, HI 96859-5001 · Phone (808) 433-6345

Location 2650 Huebner RdFt Riley, KS 66442-4030 · Phone (785) 240-7055

Location 36350 Mae Anne Ave Ste 3Reno, NV 89523-4718 · Phone (775) 624-6350

Location 41055 S Wells AveReno, NV 89502-2550 · Phone (775) 329-6300 · Fax (775) 870-4686

Other Identifiers 2

Medicaid250014612NV

OtherV76770NV · Medicare Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rey Agatep D.o. 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 Reassignment

Medicare enrollment records show Rey Agatep reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Alliance

25 mi

Federally Qualified Health Center (FQHC)

1055 S WELLS AVE
Reno, NV 89502

Reassigned Medicare billing, Nevada enrollment
49 clinicians in this Medicare group

NPI 1326162710 (775) 829-6300

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 96161 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 20

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

LORI GRAHAM

Registered Nurse (Case Management)