Jeanine Paulette Sioson Reyes-Bautista, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0087274 Issued in MD

Practice address

Howard County General Hospital
5755 Cedar Lane
Columbia, MD 21044

Phone

(410) 720-8769

Fax

(410) 740-7561

NPI assigned

Apr 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jeanine Paulette Sioson Reyes Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jreyesbautista536992@direct.hopkinsmedicine.org
• Direct secure messaging: jreyesbautista60841@gbmcdirect.org

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.

• Johns Hopkins University

  • Emergency Medicine Physician
  • Columbia, MD
  • NPI 1023772290
  Medicare reassignment NPD
• Mep Health, LLC

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1164483558
  Medicare reassignment NPD
• Johns Hopkins University

  • Neurology Physician
  • MC Lean, VA
  • NPI 1598552226
  NPD

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1316300700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SOUTH CLINTON STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212240005",
            "telephone_number": "443-858-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOWARD COUNTY GENERAL HOSPITAL",
            "address_2": "5755 CEDAR LANE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-720-8769",
            "fax_number": "410-740-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-BAUTISTA",
        "first_name": "JEANINE PAULETTE",
        "middle_name": "SIOSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0087274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE PAULETTE",
            "last_name": "REYES",
            "middle_name": "SIOSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cristina Restrepo-Harner
• Revered-Holistic Healthcare LLC
• Revered-Holistic Healthcare LLC
• Revive Clinic LLC
• Revolution Sports Medicine
• Camila Reyes-Loayza
• Samantha Reyes
• Aahna Reynolds
• Kristen Mary Reynolds, RN
• Larissa Kern Reynolds, PH.D., BCBA-D

• Pediatrics Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.