Individual provider Active NPI

Jennifer Lee Riedinger, M.D.

  • Internal Medicine Physician
  • Millersville, MD
National Provider Identifier
1144265877
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0050725 Issued in MD
Practice address
8601 Veterans Hwy
Suite 204
Millersville, MD 21108-1547
Phone
(410) 729-0424
Fax
(410) 729-0492
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0050725 MD Primary

Addresses

Primary practice location

8601 Veterans Hwy
Suite 204
Millersville, MD 21108-1547

Mailing address

PO Box
Baltimore, MD 21264-0001

Other identifiers 10

IdentifierTypeStateIssuer
110184187 CC0691OtherMDRR MEDICARE
O242-0015OtherDCCARE FIRST BLUE CROSS
1392OtherMDBRAVO/ELDER HEALTH
69901OtherMDAMERIGROUP
213842OtherMDCIGNA
7239055OtherMDAETNA PPO
197300200MedicaidMD
3134395OtherMDAETNA HMO
768973-03OtherMDCARE FIRST BLUE CROSS
38226OtherMDJOHNS HOPKINS HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20100125000178 MD Practitioner - Internal MedicinePractitioner - Hospitalist 8921140252 Reassigns benefits to 4 organizations
I20101123000066 DC Practitioner - Internal Medicine 8921140252 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians

Practice addresses (Care Compare)

144 Washington Rd
Edgewater, MD 21037-1412
Phone (410) 956-5000

2525 W Belvedere Ave
Baltimore, MD 21215-5203
Phone (410) 367-9100

6700 Columbia Pike
Annandale, VA 22003-3450
Phone (703) 256-7000

9211 Stuart LN
Clinton, MD 20735-2712
Phone (301) 868-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0050725MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Mdics at Anne Arundel LLC CurrentSince Dec 2, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
PA Post Acute Services PC CurrentSince Jan 31, 2024 Accepting new patients
Howard Leasing Co., LLC Past Accepting new patients
Washington (MD) Leasing Co., LLC Past Accepting new patients
Clinton Nursing, LLC Past Accepting new patients

Locations

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

144 Washington Rd
Edgewater, MD 21037
Phone (410) 956-5000

100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

3000 McComas Ave
Kensington, MD 20895
Phone (301) 491-3090

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

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
Clinton Healthcare CenterClinton, MD, CCN 215231 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 16, 2023
Jan 16, 2023
South River Healthcare CenterEdgewater, MD, CCN 215297 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 28, 2022
Oct 18, 2022

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 9

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 3

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1144265877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212640001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HWY",
            "address_2": "SUITE 204",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081547",
            "telephone_number": "410-729-0424",
            "fax_number": "410-729-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDINGER",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110184187 CC0691",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS",
            "identifier": "O242-0015",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO/ELDER HEALTH",
            "identifier": "1392",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "69901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "213842",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7239055",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197300200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3134395",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS",
            "identifier": "768973-03",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTHCARE",
            "identifier": "38226",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.