Individual provider Active NPI

Wayne Reichman, M.D.

  • Vascular Surgery Physician
  • Glen Arm, MD
National Provider Identifier
1366404246
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D41749 Issued in MD
Practice address
12814 Dulaney Valley Rd
Glen Arm, MD 21057-9761
Phone
(410) 459-3433
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D41749 MD Primary

Addresses

Primary practice location

12814 Dulaney Valley Rd
Glen Arm, MD 21057-9761

Mailing address

12814 Dulaney Valley Rd
Glen Arm, MD 21057-9761
Phone (410) 459-3433

Other identifiers 1

IdentifierTypeStateIssuer
348481500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D41749MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Ultrasound Services,Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Harford X-Ray Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wayne.reichman.d1.p1@direct.vsadocs.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366404246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12814 DULANEY VALLEY RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579761",
            "telephone_number": "410-459-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12814 DULANEY VALLEY RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579761",
            "telephone_number": "410-459-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHMAN",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D41749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348481500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Arm, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.