ANTHONY L REYES (MD) – Family Medicine Physician, NPI 1588877799

ANTHONY L REYES (MD) is a healthcare provider. based in Kelso, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD60329830 (WA). The NPI Number for ANTHONY L REYES (MD) is 1588877799

Main info

Male
25 Years Of Experience
Name
ANTHONY L REYES (MD)
NPI
1588877799
Phone
(360) 353-5511
Address
300 OAK ST STE B
Enumeration Date
7 May 2007
Last Update Date
27 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607953201
Graduation Year
2001 (25 years ago)
PAC ID
6507051471
Group Practice PAC ID
5991696395
Professional Enrollment ID
I20130513000083
Address ID
WA986129583CA335XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for ANTHONY L REYES (MD)

  • Oak Street, West Kelso, Kelso, Cowlitz County, Washington, 98626, United States

    KELSO, WA 986262304

    Phone: (360) 353-5511

    Fax: (360) 353-5502

    Type: Location

  • 1057, 12th Avenue, Longview, Cowlitz County, Washington, 98632, United States

    LONGVIEW, WA 986322509

    Phone: (360) 636-3892

    Fax: (360) 414-1342

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-05-13

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
I20130513000083IFamily PracticeWATBD

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 98626)

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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: 5991696395View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Family PracticeWA
Nurse PractitionerWA
-WA
Nurse PractitionerOR

Reviews

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Frequently asked questions

How is ANTHONY L REYES (MD) identified in CMS data?
CMS-hosted NPPES data lists ANTHONY L REYES (MD) with NPI 1588877799.
Is ANTHONY L REYES (MD) still practicing?
ANTHONY L REYES (MD) is currently listed as active in the public NPI registry.
What is ANTHONY L REYES (MD)'s primary classification?
Family Medicine Physician is the headline specialty for ANTHONY L REYES (MD) here. Clinical services aligned with this taxonomy classification.
What area does ANTHONY L REYES (MD) serve?
ANTHONY L REYES (MD)'s listing highlights Kelso, Washington; more addresses can appear in NPPES.
Is the information about ANTHONY L REYES (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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