Individual provider Active NPI

William F Regine, M.D.

  • Radiation Oncology Physician
  • Baltimore, MD
National Provider Identifier
1104831957
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0059557 Issued in MD
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

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
400935500MedicaidMD

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
I20081017000239 MD Practitioner - Radiation Oncology 3274510987 Reassigns benefits to 3 organizations

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
Maryland Proton Treatment Center, LLCGroup PAC ID 5597070524, 23 clinicians

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

LicenseStateTypeSpecialty
D0059557MDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Proton Treatment Center, LLC CurrentSince Sep 1, 2015 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 16, 2018 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
University of Maryland Medical Center Midtown CampusBaltimore, MD, CCN 210038 Hospital Corporate Officer
Corporate Director
Mar 19, 2024
Mar 19, 2024
University of Maryland Medical CenterBaltimore, MD, CCN 210002 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.

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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.