Individual provider Active NPI

Martha Reilley, NP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1003381997
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R224996 Issued in MD
Practice address
3500 Boston St
Baltimore, MD 21224-5251
Phone
(443) 266-3943
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R224996 MD Primary

Addresses

Primary practice location

3500 Boston St
Baltimore, MD 21224-5251

Mailing address

450 Garrisonville Rd Ste 109
Stafford, VA 22554-1532

Other practice location 1

550 Ritchie Hwy
Severna Park, MD 21146-2953
Phone (410) 290-8834

Other practice location 2

19 Fontana Ln Ste 208
Rosedale, MD 21237-3079
Phone (443) 338-6407

Other practice location 3

450 Garrisonville Rd Ste 109
Stafford, VA 22554-1532
Phone (703) 214-6149

Other practice location 4

3720 Washington Blvd Ste 100
Halethorpe, MD 21227-1660
Phone (443) 267-2803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828003647 MD Practitioner - Pulmonary Disease 1355688714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Asthma Pulmonary and Sleep Spec CurrentSince Jul 22, 2024 Accepting new patients
Advanced Spine and Pain Centers, PLLC PastSince Nov 14, 2018 Accepting new patients
Advanced Spine and Pain PLLC Past Accepting new patients
JLJ Medical LLC Past Accepting new patients

Locations

116 Defense Hwy
Ste 500
Annapolis, MD 21401
Phone (410) 224-1144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9065/brand/1/csg/1/fhir/r4
  • Direct secure messaging: martha.reilley.1@9065.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1003381997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD STE 109",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BOSTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245251",
            "telephone_number": "443-266-3943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Ritchie Hwy",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211462953",
            "country_code": "US",
            "telephone_number": "410-290-8834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Fontana Ln Ste 208",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "MD",
            "postal_code": "212373079",
            "country_code": "US",
            "telephone_number": "443-338-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Garrisonville Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541532",
            "country_code": "US",
            "telephone_number": "703-214-6149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3720 Washington Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Halethorpe",
            "state": "MD",
            "postal_code": "212271660",
            "country_code": "US",
            "telephone_number": "443-267-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLEY",
        "first_name": "MARTHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R224996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.