MYLADIS REYES (MD) – Student in an Organized Health Care Education/Training Program, NPI 1639673239

MYLADIS REYES (MD) is a healthcare provider. based in New york, New York. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 310011 (NY). The NPI Number for MYLADIS REYES (MD) is 1639673239

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MYLADIS REYES (MD)
NPI
1639673239
Phone
Not provided
Address
350 E 17TH ST FL 20
Enumeration Date
20 March 2018
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2013270500
Graduation Year
2018 (8 years ago)
PAC ID
0244575785
Group Practice PAC ID
3971606286
Professional Enrollment ID
I20231020000258
Address ID
NJ074461120RA470XXTPKE401
Telehealth
Yes

Contacts

Secure Messaging
mr@vdmc.medentdirect.com
Secure Messaging
payer.credentialing@sphp.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:8State licenses:2Other names

18,056 INTERNAL MEDICINE in NY

Provider Addresses for MYLADIS REYES (MD)

  • 350 E 17TH ST FL 20

    NEW YORK, NY 100033805

    Phone:

    Type: Mailing

  • PO BOX 14890

    ALBANY, NY 122124890

    Phone: (518) 525-5634

    Type: Mailing

  • 4 PALISADES DR STE 100

    ALBANY, NY 122051443

    Phone: (518) 446-9545

    Type: Location

  • 470 N FRANKLIN TPKE STE 203

    RAMSEY, NJ 074461385

    Phone: (201) 327-0500

    Fax: (201) 327-8612

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $882.

Total Amount is formed as General ($882) + Research ($0) + Ownership ($0) = $882.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($128).

Total Amount

$882

General + Research + Ownership

Payments

45

Total payment records

General Amount

$882

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2023-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20231020000258IInternal MedicineNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes139122$0
81003Automated urinalysis test126123$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit106106$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report9190$0
99214Established patient office or other outpatient visit, 30-39 minutes7267$0
View full utilization report →

Insurance plans in this area (ZIP 10003)

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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: 3971606286View full group profile
NameSpecialtyState
Internal MedicineNJ
Family PracticeNJ
Internal MedicineNJ
Nurse PractitionerNJ
Family PracticeNJ

Reviews

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Frequently asked questions

Does MYLADIS REYES (MD) have a public NPI I can cite?
Public records show MYLADIS REYES (MD) under NPI 1639673239.
Should I treat MYLADIS REYES (MD) as an active provider?
Patients and plans typically see MYLADIS REYES (MD) as active in the national extract.
What type of care does MYLADIS REYES (MD) provide?
MYLADIS REYES (MD)'s profile centers on Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is MYLADIS REYES (MD) tied to New York, New York?
If you are local to New York, New York, MYLADIS REYES (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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