Active NPI
Laura Colleen Reifsteck, PAC
- Medical Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA200001625
- Practice address
- 2021 K St NW Ste 600
Washington, DC 20006-1051 - Phone
- (202) 888-8365
- NPI assigned
- Jul 4, 2006
- Last updated
- Jan 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD203 | HI | |
| Medical Physician Assistant | 363AM0700X | PA200001625 | DC | Primary |
Addresses
Primary practice location
2021 K St NW Ste 600
Washington, DC 20006-1051
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704
Other practice location 1
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54862001 | Medicaid | HI | |
| PA200001625 | Other | DC | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMD203 | HI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Capitol Breathe Free Sinus & Allergy Centers | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Past | Accepting new patients | |
| Hawaii Neurosurgery Group LLP | Past | Accepting new patients |
Locations
2021 K St NW
Ste 600
Washington, DC 20006
Phone (202) 741-3387
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Interoperability endpoints
- lreifsteck1158170@direct.hopkinsmedicine.org
Organizations & group practices 6
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.
-
dba Jhu - Transplant/Vascular Surgery
- Transplant Surgery Physician
- Baltimore, MD
- NPI 1124009758
DC
-
- Otolaryngology Physician
- Washington, DC
- NPI 1801374228
-
dba JHU - 6849 Old Dominion Drive - Physician
- Neurology Physician
- McLean, VA
- NPI 1598552226
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Neurological Surgery Physician
- Honolulu, HI
- NPI 1518993831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1336179423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 K ST NW STE 600",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061051",
"telephone_number": "202-888-8365"
}
],
"practiceLocations": [
{
"address_1": "5255 Loughboro Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162633",
"country_code": "US",
"telephone_number": "202-537-4122",
"fax_number": "202-537-0158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIFSTECK",
"first_name": "LAURA",
"middle_name": "COLLEEN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD203",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA200001625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54862001",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA200001625",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.