Individual provider Active NPI

Reena Mary Thomas, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Prince Frederick, MD
National Provider Identifier
1154640423
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0079447 Issued in MD
Practice address
205 Steeple Chase Dr 307
Prince Frederick, MD 20678-4054
Phone
(443) 432-3020
Fax
(410) 486-7178
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0079447 MD Primary

Addresses

Primary practice location

205 Steeple Chase Dr 307
Prince Frederick, MD 20678-4054

Mailing address

PO Box 2424
Prince Frederick, MD 20678-2424
Phone (443) 432-3020

Other identifiers 1

IdentifierTypeStateIssuer
5810230P0000MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patuxentendo@patuxentendo.amazing-direct.com Health Information Exchange (HIE)

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
I20151021000879 MD Practitioner - Endocrinology 5092964601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 Steeple Chase Dr
Suite 307
Prince Frederick, MD 20678-4054
Phone (443) 968-4143

Hospital & facility affiliations

  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079447MDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patuxent Endocrinology Associates, LLC Endocrinology, Diabetes & Metabolism CurrentSince Sep 29, 2015 Accepting new patients
Anson J Joseph - Patuxent Nephrology Assoc LLC PastSince Jan 24, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

205 Steeple Chase Dr
Ste 307
Prnc Frederck, MD 20678
Phone (410) 286-8782

Organizations & group practices 3

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1154640423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2424",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206782424",
            "telephone_number": "443-432-3020",
            "fax_number": "410-468-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STEEPLE CHASE DR 307",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784054",
            "telephone_number": "443-432-3020",
            "fax_number": "410-486-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "REENA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0079447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5810230P0000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patuxentendo@patuxentendo.amazing-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 STEEPLE CHASE DR 307",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206784054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.