NPIMap

Individual provider Active NPI

Junewai Lee Reoma, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Duluth, MN
National Provider Identifier
1285753111
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
79784 Issued in MN
Practice address
402 E 2ND St
Duluth, MN 55805-1906
Phone
(218) 786-8364
NPI assigned
Mar 29, 2007
Last updated
Aug 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301081441 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D75937 MD
Student in an Organized Health Care Education/Training Program 390200000X 4301081441 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 79784 MN Primary

Addresses

Primary practice location

402 E 2ND St
Duluth, MN 55805-1906

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other practice location 1

5051 Greenspring Ave Ste 304
Baltimore, MD 21209-4358
Phone (734) 657-7173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MI, PA, MN4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130829000330 MD Practitioner - Thoracic SurgeryPractitioner - General Surgery 5193968766 Reassigns benefits to 2 organizations
I20200515000189 MI Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 5193968766 Reassigns benefits to 1 organization
I20241122002105 PA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 5193968766 Reassigns benefits to 1 organization
I20250827001270 MN Practitioner - Thoracic Surgery 5193968766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Michigan Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical CenterGroup PAC ID 6901706357, 91 clinicians

Practice addresses (Care Compare)

402 E 2ND St
Duluth, MN 55805-1906
Phone (218) 786-3443

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79784MNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Surgical Associates, PA CurrentSince Jul 1, 2013 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Munson Medical Center CurrentSince Jul 1, 2020 Accepting new patients
St Marys Medical Center CurrentSince Aug 25, 2025 Accepting new patients
St. Mary's Medical Center CurrentSince Aug 25, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Dec 23, 2024 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Oct 25, 2021 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Oct 25, 2021 Accepting new patients
Munson Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Munson Medical Center Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 23, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

5051 Greenspring Ave
Ste 304
Baltimore, MD 21209
Phone (410) 367-2590

6190 Georgetown Blvd
Ste 102
Eldersburg, MD 21784
Phone (410) 469-4937

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1221 Sixth St
Ste 202
Traverse City, MI 49684
Phone (231) 935-5730

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: jreoma465887@wellspan.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1285753111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051906",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5051 Greenspring Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212094358",
            "country_code": "US",
            "telephone_number": "734-657-7173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REOMA",
        "first_name": "JUNEWAI",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301081441",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D75937",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301081441",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "79784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.