Individual provider Active NPI

Richard Reaven, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1063699106
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D70913 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-3447
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D70913 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-3447

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
I20120820000184 MD Practitioner - Diagnostic Radiology 2062668429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

104 Plumtree Rd
Bel Air, MD 21015-6095

116 Defense Hwy
Suite Ll100
Annapolis, MD 21401-7626
Phone (888) 972-9700

11810 W Market PL
Fulton, MD 20759-2703
Phone (888) 972-9700

1209 York Rd
Suite 100
Lutherville, MD 21093-6208
Phone (888) 972-9700

122 Defense Hwy
Suite 102
Annapolis, MD 21401-7044
Phone (888) 972-9700

124 Sister Pierre Dr
Towson, MD 21204-7507
Phone (888) 972-9700

1430 Progress Way
Suite 108
Eldersburg, MD 21784-6484
Phone (888) 972-9700

1600 Crain Hwy S
Suite 101
Glen Burnie, MD 21061-6440
Phone (888) 972-9700

1700 Reisterstown Rd
Baltimore, MD 21208-2935

200 Hospital Dr
Suite Ll20And112
Glen Burnie, MD 21061-5884
Phone (888) 972-9700

201 Plumtree Rd
Suite 101
Bel Air, MD 21015-6055
Phone (888) 972-9700

203 Hospital Dr
Suite 100
Glen Burnie, MD 21061-6904
Phone (888) 972-9700

2080 York Rd
Suite 160
Timonium, MD 21093-4249
Phone (888) 972-9700

21 Crossroads Dr
Suite 120
Owings Mills, MD 21117-5497
Phone (888) 972-9700

2700 Quarry Lake Dr
Suite 140
Baltimore, MD 21209-3761
Phone (888) 972-9700

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (888) 972-9700

4211 Blakely Ave
Baltimore, MD 21236-2456

4801 Dorsey Hall Dr
Ellicott City, MD 21042-7703

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (888) 972-9700

5500 Knoll N Dr
Suite 100
Columbia, MD 21045-2360
Phone (888) 972-9700

650 McHenry Rd
Suite 1400
Aberdeen, MD 21001-2607
Phone (443) 718-8709

6565 N Charles St
Suite 100
Baltimore, MD 21204-6807
Phone (888) 972-9700

6715 N Charles St
Suite 250
Towson, MD 21204-6822
Phone (888) 972-9700

7501 Osler Dr
Towson, MD 21204-7743
Phone (888) 972-9700

7801 Elvaton CT
Glen Burnie, MD 21061-6763
Phone (888) 972-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D70913MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Jan 26, 2013 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Jan 26, 2013 Accepting new patients
Baltimore Ultrasound Services,Inc CurrentSince Apr 1, 2016 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology Current Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology Past Accepting new patients
Premier Breast Imaging LLC Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

Interoperability endpoints

  • Direct secure messaging: rreaven5023@direct.umm.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1063699106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVEN",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D70913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.