JESSE M. CHUA-REYES M.D.
NPI 1669473724
Internal Medicine - Geriatric Medicine in New Haven, CT

NPI Status: Active since August 10, 2005

Contact Information

874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 688-8200
Fax: (203) 688-8204

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  • Individual
  • Male
  • Internal Medicine
  • Geriatric Medicine
  • PECOS Enrolled

About JESSE CHUA-REYES

This page provides the complete NPI Profile along with additional information for Jesse Chua-reyes, an internist established in New Haven, Connecticut with a medical specialization in Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1669473724 assigned on August 2005. The practitioner's primary taxonomy code is 207RG0300X with license number 035500 (CT). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1669473724
Provider Name
JESSE M. CHUA-REYES M.D.
Gender
Male
Entity Type
Individual
Location Address
874 HOWARD AVE NEW HAVEN, CT 06519
Location Phone
(203) 688-8200
Location Fax
(203) 688-8204
Mailing Address
874 HOWARD AVE NEW HAVEN, CT 06519
Mailing Phone
(203) 688-8200
Mailing Fax
(203) 688-8204
Is Sole Proprietor?
No
Enumeration Date
08-10-2005
Last Update Date
01-09-2009
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An internist like Jesse Chua-reyes is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
License No.
035500
License State
CT
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
061561581OTHER (01)CTCIGNA
3385240OTHER (01)CTAETNA
P00053271OTHER (01)CTRAIL ROAD MEDICARE
758106OTHER (01)CTCONNECTICARE
010035500CT01OTHER (01)CTANTHEM BC/BS
0Q2710OTHER (01)CTHEALTH NET
061561581OTHER (01)CTHEALTH CT
061561581OTHER (01)CTUNITED HEALTHCARE
H88377MEDICARE UPIN (02) 
355508OTHER (01)CTWELLCARE OF CT
001355008MEDICAID (05)CT 
P2932518OTHER (01)CTOXFORD
110008920MEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

Jesse Chua-reyes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    Tracheostomy care kit for established tracheostomy (HCPCS:A4629)

    1 DME suppliers used 12 Medicare Claims 360 Services Paid

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA023N)

    Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS:A6196)

    2 DME suppliers used 37 Medicare Claims 1784 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing (HCPCS:A6219)

    1 DME suppliers used 29 Medicare Claims 1469 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 26 times for 18 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 47 times for 30 patients

Initial nursing facility visit per day, typically 35 minutes

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

This service was performed 88 times for 86 patients

Initial nursing facility visit per day, typically 35 minutes

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

This service was performed 29 times for 29 patients

Initial nursing facility visit per day, typically 45 minutes

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

This service was performed 64 times for 63 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06519 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $183.1
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $45.77
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.68
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $26.67
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JESSE M. CHUA-REYES M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669473724, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 8 + 7 + 6 + 7 + 4 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1669473724.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE, BASEMENT, ROOM 007
NEW HAVEN, CT 06519
Physician Assistant (Medical)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE, BASEMENT - ROOM 007
NEW HAVEN, CT 06519
Nurse Practitioner (Gerontology)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
Nurse Practitioner (Gerontology)
874 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669473724, enumerated as an "individual" on August 10, 2005.

The provider is located at 874 HOWARD AVE NEW HAVEN, CT 06519 and the phone number is (203) 688-8200.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Cigna, Medicare, Medicaid, Aetna, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.