Provider Demographics
NPI:1750523718
Name:PITTS, REYNARIA (MD)
Entity type:Individual
Prefix:DR
First Name:REYNARIA
Middle Name:
Last Name:PITTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REYNARIA
Other - Middle Name:SUAREZ
Other - Last Name:NIEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:303-252-0104
Mailing Address - Fax:303-867-2776
Practice Address - Street 1:9141 GRANT ST STE 141
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4374
Practice Address - Country:US
Practice Address - Phone:303-252-0104
Practice Address - Fax:303-867-2776
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO56761207R00000X, 207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003125284AMedicaid
GA003125284AMedicaid
GA202I117400Medicare PIN