Individual provider Active NPI

Ranier Selorio Delos Reyes

  • Acute Care Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1104497817
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN1017208 Issued in DC
Practice address
5001 Saint Matthews Dr
Waldorf, MD 20602-5183
Phone
(240) 533-1444
NPI assigned
Jul 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN1017208 DC Primary

Addresses

Primary practice location

5001 Saint Matthews Dr
Waldorf, MD 20602-5183

Mailing address

5001 Saint Matthews Dr
Waldorf, MD 20602-5183
Phone (240) 533-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230908000008 DC Practitioner - Nurse Practitioner 8729442868 Reassigns benefits to 2 organizations
I20240306000387 MD Practitioner - Nurse Practitioner 8729442868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, shared by 2 NPIs, 104 clinicians

Practice addresses (Care Compare)

22 S Athol Ave
Futurecare Irvington
Baltimore, MD 21229-3405
Phone (410) 947-3052

901 1St St NW
Unique Rehab and Health Center
Washington, DC 20001-1403
Phone (202) 535-1100

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1017208DCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Management Group LLC CurrentSince Mar 30, 2025 Accepting new patients
M Management Group LLC Current Accepting new patients
M Management Group, LLC CurrentSince Mar 30, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 24, 2023 Accepting new patients
M Medical Group, Inc. Current Accepting new patients
M Medical Group, Inc. CurrentSince Jul 24, 2023 Accepting new patients
Iet Healthcare and Referral Services, L.L.C. PastSince Jul 17, 2021 Accepting new patients

Locations

901 1st St NW
Washington, DC 20001
Phone (202) 282-3005

223 7th St NE
Washington, DC 20002
Phone (202) 543-4800

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

Organizations & group practices 7

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": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1104497817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SAINT MATTHEWS DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206025183",
            "telephone_number": "240-533-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SAINT MATTHEWS DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206025183",
            "telephone_number": "240-533-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOS REYES",
        "first_name": "RANIER",
        "middle_name": "SELORIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-03",
        "last_updated": "2022-05-09",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DC",
            "license": "RN1017208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.