Individual provider Active NPI

Reagan Denise Monteith, PA-C

  • Physician Assistant
  • Clinton, MD
National Provider Identifier
1417693003
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C08432 Issued in MD
Practice address
10401 Hospital Dr Ste 101
Clinton, MD 20735-3150
Phone
(301) 856-2323
NPI assigned
May 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X DC
Physician Assistant 363A00000X 0110008506 VA
Physician Assistant 363A00000X C08432 MD Primary

Addresses

Primary practice location

10401 Hospital Dr Ste 101
Clinton, MD 20735-3150

Mailing address

10401 Hospital Dr Ste 101
Clinton, MD 20735-3150
Phone (301) 856-2323

Other practice location 1

853 New Jersey Ave SE Apt 855
Washington, DC 20003-5084
Phone (603) 493-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221018000356 DC Practitioner - Physician Assistant 1254707110 Reassigns benefits to 2 organizations
I20221021001140 MD Practitioner - Physician Assistant 1254707110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (703) 558-1400

5454 Wisconsin Ave
Chevy Chase, MD 20815-6901
Phone (877) 677-3627

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
72.87
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110008506VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince May 8, 2025 Accepting new patients
MGMC, LLC CurrentSince Jul 7, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Georgetown Medical Center, Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
#7
Washington, DC 20007
Phone (202) 444-4972

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

10401 Hospital Dr
Ste 101
Clinton, MD 20735
Phone (301) 856-2323

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1417693003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 HOSPITAL DR STE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353150",
            "telephone_number": "301-856-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 HOSPITAL DR STE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353150",
            "telephone_number": "301-856-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 New Jersey Ave SE Apt 855",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200035084",
            "country_code": "US",
            "telephone_number": "603-493-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEITH",
        "first_name": "REAGAN",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008506",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.