KIM MARIE REYES (M.D.) – General Practice Physician, NPI 1548203748

KIM MARIE REYES (M.D.) is a healthcare provider. based in Stamford, Connecticut. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 50309 (TX). The NPI Number for KIM MARIE REYES (M.D.) is 1548203748

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
KIM MARIE REYES (M.D.)
NPI
1548203748
Phone
(314) 888-5233
Address
1180 NEWFIELD AVE
Enumeration Date
14 June 2006
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148885233
Graduation Year
1987 (39 years ago)
PAC ID
3577623065
Group Practice PAC ID
7214367101
Professional Enrollment ID
I20200616002193
Address ID
CT069051409ST1180XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness75
Years active:19State licenses:10Digital endpointsOther names

48 GENERAL PRACTICE in CT

Provider Addresses for KIM MARIE REYES (M.D.)

  • 1180 NEWFIELD AVE

    STAMFORD, CT 069051409

    Phone: (314) 888-5233

    Fax: (203) 590-8644

    Type: Location

  • Bay Parkway, West 7th Street, Gravesend, Brooklyn, Kings County, New York, 11223, United States

    BROOKLYN, NY 112046081

    Phone: (718) 238-2100

    Fax: (718) 748-0863

    Type: Mailing

  • 445, Park Avenue, Marcy Houses, Brooklyn, Kings County, New York, 11205, United States

    BROOKLYN, NY 112052735

    Phone: (718) 963-0800

    Fax: (718) 534-5221

    Type: Location

  • 711 SILVERMINE RD

    NEW CANAAN, CT 068404329

    Phone: (314) 888-5233

    Fax: (203) 590-8644

    Type: Location

  • 70 S VAL VISTA DR STE A3-239A3

    GILBERT, AZ 852961374

    Phone: (818) 378-3978

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Novo Nordisk Inc ($23).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 10 Medicare enrollment records; no due dates published yet.

Enrollment records

10

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081113000252IObstetrics/GynecologyCATBD
I20190122001445IGeneral PracticeNYTBD
I20200616002193IGeneral PracticeCTTBD
I20200715000059IGeneral PracticeNMTBD
I20201026002244IGeneral PracticeAZTBD
I20201027001169IGeneral PracticeTXTBD
I20201125001493IGeneral PracticeVATBD
I20230525000150IObstetrics/GynecologyNYTBD
I20241211001017IGeneral PracticeALTBD
I20250114003150IGeneral PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214367101View full group profile
NameSpecialtyState
Internal MedicinePA
Physical Therapist In Private PracticeCO
P S Y C H I A T R YMI
Nurse PractitionerMT
Family PracticeMI
Hospitalist, Pediatric MedicineVA
Nurse PractitionerIL
Family PracticeFL
Nurse PractitionerAK
Pediatric MedicineCT

Reviews

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Frequently asked questions

Does KIM MARIE REYES (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIM MARIE REYES (M.D.) uses 1548203748.
Does the file indicate KIM MARIE REYES (M.D.) is practicing under active NPI?
Directory data currently reports KIM MARIE REYES (M.D.) as active.
What is KIM MARIE REYES (M.D.) best known for clinically?
Directory data describes KIM MARIE REYES (M.D.) with General Practice Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KIM MARIE REYES (M.D.)?
KIM MARIE REYES (M.D.)'s geographic hint is Stamford, Connecticut in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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