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DR. REGINALD DOUGLAS HUGHES M.D.
NPI 1619047958
Family Medicine in Jamaica, NY

Active since November 08, 2006PECOS Enrolled
13303 JAMAICA AVE, JAMAICA, NY 11418(718) 657-7093(718) 558-5314 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Reginald Douglas Hughes M.d. NPPES

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

DR. REGINALD DOUGLAS HUGHES M.D. (NPI 1619047958) is an individual family medicine provider in Jamaica, New York, licensed in New York (218738) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1998).

NPPES Registry Identity

NPI1619047958
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. REGINALD DOUGLAS HUGHESCredential: M.D.
Location Address13303 JAMAICA AVEJamaica, NY 11418-2618
Mailing Address12035 142nd StJamaica, NY 11436-1412 · (917) 862-2864 · Fax (866) 223-7072
Phone(718) 657-7093
Fax(718) 558-5314
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1998
Enumeration DateNovember 8, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1619047958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 218738
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.
13303 JAMAICA AVE, Jamaica, NY 11418
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Other Identifiers 1

Other218738NY · Nys Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Reginald Douglas Hughes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133187412
PECOS Enrollment IDI20050103000967
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

5

Medicare enrollment records show Reginald Hughes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tjh Medical Services, P.C.
0.2 mi
Internal Medicine
8906 135TH ST
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Tjh Medical Services PC
  • 497 clinicians in this Medicare group
NPI 1184670465 (718) 206-6742
Jamaica Hospital
0.2 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918
Urgent Care Physician Of New York-Hartsdale PLLC
8.4 mi
Urgent Care
843 HUTCHINSON RIVER PKWY
Bronx, NY 10465
  • Reassigned Medicare billing, New York enrollment
  • 37 clinicians in this Medicare group
NPI 1770885808 (718) 925-4400
Doc At Home Medical, P.C.
9.2 mi
Family Medicine
535 5TH AVE FL 4
New York, NY 10017
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Doc At Home Medical PC
NPI 1942621511 (888) 496-5115
Divinity Medical Services PLLC
41 mi
Urgent Care
3379 CROMPOND RD
Yorktown Heights, NY 10598
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
NPI 1497159560 (914) 844-9803

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
495 services338 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services241 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
176 services150 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
115 services103 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
83 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
78 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims24 services$6.56 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier53 claims53 services$37.64 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$14.88 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier31 claims31 services$34.50 avg. paid by Medicare
Rollabout chair, any and all types with casters 5" or greater E1031
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$24.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARINA BISSADA DO
Student in an Organized Health Care Education/Training Program
13303 JAMAICA AVE
RICHMOND HILL, NY 11418
Queens County (718) 206-6942
MEERA KUNTAWALA
Family Medicine
13303 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 657-7093
MS. DIANA LOUISE MALKIN-WASHEIM MPH,R.D., CDE, CD-N
Dietitian, Registered
13303 JAMAICA AVE
RICHMOND HILL, NY 11418
Queens County (516) 787-1065
LEAH PETRUCELLI
Family Medicine
13303 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 657-7093
MRS. MARIA ISABEL HERNANDEZ NP
Nurse Practitioner (Obstetrics & Gynecology)
13303 JAMAICA AVE
RICHMOND HILL, NY 11418
Queens County (718) 291-3276
DR. CAMERON E NIENABER M.D.
Family Medicine
13303 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 657-7093
DR. STACEY JOSEPHINE MARTINEZ MD
Family Medicine
13303 JAMAICA AVE
RICHMOND HILL, NY 11418
Queens County (718) 657-7093
NICHOLAS LUKE PANTALEO MD
Family Medicine
13303 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 206-6914

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 Reginald Hughes's NPI number?

The NPI number for Reginald Hughes is 1619047958. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Reginald Hughes located?

Reginald Hughes practices at 13303 Jamaica Ave, Jamaica, NY 11418. The listed phone number is (718) 657-7093.

What is Reginald Hughes's specialty?

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

Is Reginald Hughes enrolled in Medicare?

Yes. Reginald Hughes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Reginald Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reginald Hughes reassigns Medicare benefits to 5 organizations: Tjh Medical Services, P.C. (Jamaica, NY), Jamaica Hospital (Jamaica, NY), Urgent Care Physician Of New York-Hartsdale PLLC (Bronx, NY), Doc At Home Medical, P.C. (New York, NY) and Divinity Medical Services PLLC (Yorktown Heights, NY). Each 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 Reginald Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reginald Hughes accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Reginald Hughes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reginald Hughes was last updated on March 7, 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.