Reginald Scott Widemon

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D0101352 Issued in MD

Practice address

4940 Eastern Avenue
Baltimore, MD 21264-2925

Phone

(410) 550-0100

NPI assigned

Apr 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Columbia University College of Physicians and Surgeons, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
• Suburban Hospital Hospital, Bethesda, MD, CCN 210022

Merit-based Incentive Payment System (MIPS)

Final score

83.31 of 100Reported as group

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Cost

70.47

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwidemon1118590@direct.hopkinsmedicine.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

  • Body Imaging Physician
  • Baltimore, MD
  • NPI 1093796609

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

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

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

• Suburban Hospital, Inc.

  • General Acute Care Hospital
  • Bethesda, MD
  • NPI 1205896446
  Care Compare affiliation
• Suburban Hospital, Inc.

  • Radiation Oncology Clinic/Center
  • Bethesda, MD
  • NPI 1528096690

  Hospital

  Care Compare affiliation
• Lucy Webb Hayes National Training School for Deaconesses & Missionarie

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1366492977
  Care Compare affiliation

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1437656162",
    "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": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642925",
            "telephone_number": "410-550-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Haven Ave Apt 30D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100320612",
            "country_code": "US",
            "telephone_number": "828-779-2304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100032925",
            "country_code": "US",
            "telephone_number": "828-779-2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDEMON",
        "first_name": "REGINALD",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0101352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Wick, PH.D.
• Henry Wickliffe
• Kaya Wicklund Phillips
• Wanda J Wicks, MD
• Emerson M. Wickwire, PH.D.
• David Michael Widlus, M.D.
• Nancy Widlus, LCSW-C
• Patricia Ferrie Widra, M.D.
• Shelly A. Wiechelt, PH.D., LCSW-C, CCDC
• Beth H Wieczorek, CRNP

• Diagnostic Radiology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.