Active NPI
William F Regine, M.D.
- Radiation Oncology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D0059557
- Practice address
- 22 S Greene St
Gudelsky Basement
Baltimore, MD 21201-1544 - Phone
- (410) 328-3037
- Fax
- (410) 328-3040
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | D0059557 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Gudelsky Basement
Baltimore, MD 21201-1544
Mailing address
PO Box 64620
Baltimore, MD 21264-4620
Phone (410) 328-3037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400935500 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6080
850 W Baltimore St
Baltimore, MD 21201-1154
Phone (410) 227-7434
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0059557 | MD | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Proton Treatment Center, LLC | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434
850 W Baltimore St
Fl 3
Baltimore, MD 21201
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
305 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8100
Interoperability endpoints
- wregine23632@direct.umm.edu
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| University of Maryland Medical Center Midtown Campus | Hospital | Corporate Officer Corporate Director |
Mar 19, 2024 Mar 19, 2024 |
| University of Maryland Medical Center | Hospital | Corporate Officer Corporate Director |
Mar 19, 2024 Mar 19, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
Corporate Director, Corporate Officer
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Corporate Director, Corporate Officer
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.
-
- Clinic/Center
- Baltimore, MD
- NPI 1255742375
-
- Radiation Oncology Physician
- Baltimore, MD
- NPI 1780637272
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1104831957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64620",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644620",
"telephone_number": "410-328-3037",
"fax_number": "410-328-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"address_2": "GUDELSKY BASEMENT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-3037",
"fax_number": "410-328-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGINE",
"first_name": "WILLIAM",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0059557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400935500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.