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KIM MARIE REYES M.D.
NPI 1548203748
General Practice in Stamford, CT

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
1180 NEWFIELD AVE, STAMFORD, CT 06905(314) 888-5233(203) 590-8644 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2023, Sep 13, 2022, Nov 13, 2020 and 1 more (4 updates tracked since 2019).

About Kim Marie Reyes M.d. NPPES

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

KIM MARIE REYES M.D. (NPI 1548203748) is an individual general practice provider in Stamford, Connecticut, licensed in California (G071574) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1548203748
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameKIM MARIE REYESCredential: M.D.
Location Address1180 NEWFIELD AVEStamford, CT 06905-1409
Mailing Address70 S Val Vista Dr Ste A3-239a3Gilbert, AZ 85296-1374 · (818) 378-3978
Phone(314) 888-5233
Fax(203) 590-8644
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 21, 20254 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1548203748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in CA · G071574✔ Licensed in CT · 06221✔ Licensed in NY · 274956✔ Licensed in PA · MD461619✔ Licensed in VA · 0101266425✔ Licensed in TX · R0309✔ Licensed in AZ · 49440
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 50309 (TX), 06221 (CT), G71574 (CA), 0101266425 (VA), 274956 (NY), MD2015-0941 (NM)
1180 NEWFIELD AVE, Stamford, CT 06905
Open in Google Maps ↗

Other Identifiers 2

Medicaid00G715742CA
Medicaid02223040NM

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

Kim Marie Reyes 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 ID3577623065
PECOS Enrollment IDI20200616002193
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.

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.

DEBRA SUSAN GRAMLICH M.D.
Family Medicine
1180 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (314) 888-5233
ANA G SCHMUDE MA
Counselor
1180 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (314) 888-5233
JENNIFER C MORTON PT, DPT
Physical Therapist
1180 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (314) 888-5233
ELAINE BILBILY SCHENK
Family Medicine
1180 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (314) 888-5233
PATRICK D FLANIGAN FNP-C
Nurse Practitioner (Family)
1180 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (314) 888-5233
KATRISHA VILLARANTE LPC
Counselor (Mental Health)
1180 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (314) 888-5233
MRS. DIANE LYNN DUNNIWAY NPP
Nurse Practitioner (Obstetrics & Gynecology)
1180 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (314) 888-5233
BERNADETTE POWELL
Physician Assistant
1180 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (314) 888-5233

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 Kim Reyes's NPI number?

The NPI number for Kim Reyes is 1548203748. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Kim Reyes located?

Kim Reyes practices at 1180 Newfield Ave, Stamford, CT 06905. The listed phone number is (314) 888-5233.

What is Kim Reyes's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kim Reyes enrolled in Medicare?

Yes. Kim Reyes 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.

When was this NPI record last updated?

The NPPES record for Kim Reyes was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.