Active NPI
Ranier Selorio Delos Reyes
- Acute Care Nurse Practitioner
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN1017208
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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.
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 100
- Quality
- 77.19
- Improvement activities
- 40
- Cost
- 63.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1017208 | DC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Management Group LLC | Current | Accepting new patients | |
| M Management Group LLC | Current | Accepting new patients | |
| M Management Group, LLC | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| Iet Healthcare and Referral Services, L.L.C. | Past | 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.
-
- Internal Medicine Physician
- Rising Sun, MD
- NPI 1164238333
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1780056168
DC
-
- Gerontology Nurse Practitioner
- Waldorf, MD
- NPI 1962327346
-
- Pulmonary Disease Physician
- Clinton, MD
- NPI 1124844709
-
- Gastroenterology Physician
- Landover, MD
- NPI 1649134784
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1447076203
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.