ELSA J REYES MEDICAL P.C.
NPI 1205544111
Clinic/Center - Primary Care in New York, NY
About Elsa J Reyes Medical P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELSA J REYES MEDICAL P.C. (NPI 1205544111) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Elsa Reyes, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elsa J Reyes Medical P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Elsa J Reyes Medical P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 33D2298183
Elsa J Reyes Medical PC · New York, NYFrequently 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 Elsa J Reyes Medical P.C.'s NPI number?
The NPI number for Elsa J Reyes Medical P.C. is 1205544111. It was assigned to this organization in the NPPES registry on November 9, 2022.
Where is Elsa J Reyes Medical P.C. located?
Elsa J Reyes Medical P.C. is located at 75 E 116th St, New York, NY 10029. The listed phone number is (212) 828-7000.
What is Elsa J Reyes Medical P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Elsa J Reyes Medical P.C. enrolled in Medicare?
Yes. Elsa J Reyes Medical P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elsa J Reyes Medical P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Elsa J Reyes Medical P.C.. 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 Elsa J Reyes Medical P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2298183) is associated with this NPI, valid through January 29, 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 Elsa J Reyes Medical P.C. was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Elsa J Reyes Medical P.c. · NPI 1205544111
Primary Care organization in New York, New York. Organization record, active in the CMS NPPES registry since November 9, 2022.
## Identity
- **NPI:** 1205544111 (Entity type: Organization)
- **Enumerated:** November 9, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Elsa Reyes, DIRECTOR
## Practice location
- **Address:** 75 E 116TH ST, New York, NY 10029-1150
- **Phone:** (212) 828-7000 · **Fax:** (212) 828-7800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205544111) · Data from the CMS NPPES public registry.