Individual provider Active NPI

Reynaldo Labitag Lee-Llacer II, M.D.

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1477566875
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0061829 Issued in MD
Practice address
8600 Snowden River Pkwy Ste 307
Columbia, MD 21045-1986
Phone
(410) 290-0012
Fax
(410) 290-0015
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0061829 MD Primary

Addresses

Primary practice location

8600 Snowden River Pkwy Ste 307
Columbia, MD 21045-1986

Mailing address

8600 Snowden River Pkwy
Suite 307
Columbia, MD 21045-1982

Other identifiers 7

IdentifierTypeStateIssuer
270887.OtherAMERIGROUP
406470400MedicaidMD
7832636OtherAETNA PPO
0041OtherCAREFIRST
122122OtherJHHC
1503644OtherAETNA HMO
64241604OtherCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20040723000222 MD Practitioner - Internal Medicine 9133109788 Reassigns benefits to 2 organizations
I20240902000264 CA Practitioner - General PracticePractitioner - General Surgery 9133109788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee-Llacer and Lee-Llacer, MD PAGroup PAC ID 9436136157, 2 clinicians

Practice addresses (Care Compare)

818 Bayside Dr
Stevensville, MD 21666-2734
Phone (202) 403-0508

8600 Snowden River Pkwy
Suite 307
Columbia, MD 21045-1986
Phone (410) 290-0255

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048
  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526
  • The Lutheran Village At Miller's Grant Nursing home, Ellicott City, MD, CCN 215363

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061829MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee-Llacer & Lee-Llacer, MD,PA CurrentSince Sep 3, 2025 Accepting new patients
Dr Reynaldo Lee-Llacer II PC Internal Medicine CurrentSince Apr 16, 2025 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Aug 1, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Aug 1, 2024 Accepting new patients
Baltimore Washington Medical Center Inc. Internal Medicine Past Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine Past Accepting new patients
Genesis Eldercare Physician Services LLC Past Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200

1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700

8909 Old Branch Ave
Clinton, MD 20735
Phone (202) 239-5888

8600 Snowden River Pkwy
Ste 307
Columbia, MD 21045
Phone (410) 290-0012

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/swc_skilledfacilityhealthcaresolutions

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sodexo, Inc & AffiliatesEllicott City, MD, CCN 215363 Skilled nursing facility Adp of the SNF Oct 28, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 4

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1477566875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY",
            "address_2": "SUITE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY STE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451986",
            "telephone_number": "410-290-0012",
            "fax_number": "410-290-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-LLACER",
        "first_name": "REYNALDO",
        "middle_name": "LABITAG",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0061829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "270887.",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406470400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7832636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC",
            "identifier": "122122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1503644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "64241604",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.