Individual provider Active NPI

Maitri Shelly Kalia-Reynolds, D.O., M.S.

  • Endocrinology, Diabetes & Metabolism Physician
  • Findlay, OH
National Provider Identifier
1063703155
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0102204740 Issued in VA
Practice address
1816 Chapel Dr Ste J
Findlay, OH 45840-1343
Phone
(419) 429-7901
Fax
(567) 429-0265
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 172137 NC
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0102204740 VA Primary

Addresses

Primary practice location

1816 Chapel Dr Ste J
Findlay, OH 45840-1343

Mailing address

1816 Chapel Dr Ste J
Findlay, OH 45840-1343
Phone (419) 429-7901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170309001882 VA Practitioner - EndocrinologyPractitioner - Internal Medicine 7416246541 Reassigns benefits to 1 organization
I20240412002007 DC Practitioner - EndocrinologyPractitioner - Internal Medicine 7416246541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
172137NCMDInternal Medicine Physician
N/ANCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Internal Medicine CurrentSince Mar 11, 2024 Accepting new patients
Inova Health Care Services CurrentSince Mar 11, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: skaliareynolds1279471@soc.inova.org

Organizations & group practices 3

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1063703155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 CHAPEL DR STE J",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401343",
            "telephone_number": "419-429-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 CHAPEL DR STE J",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401343",
            "telephone_number": "419-429-7901",
            "fax_number": "567-429-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIA-REYNOLDS",
        "first_name": "MAITRI",
        "middle_name": "SHELLY",
        "credential": "D.O., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "172137",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0102204740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.