Individual provider Active NPI

Johannes W Reim, MD

  • Neurology Physician
  • Bethesda, MD
National Provider Identifier
1497714018
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D41627 Issued in MD
Practice address
6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844
Phone
(301) 530-9744
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D41627 MD Primary

Addresses

Primary practice location

6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844

Mailing address

6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844
Phone (301) 530-9744

Other identifiers 1

IdentifierTypeStateIssuer
218551200MedicaidMD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120203000524 MD Practitioner - Neurology 1951590702 Reassigns benefits to 1 organization
I20200427000145 DC Practitioner - Neurology 1951590702

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1400 Front Ave
Suite 205
Lutherville, MD 21093-5365
Phone (410) 823-4263

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

3333 N Calvert St
Baltimore, MD 21218-6502

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
98.48 of 100Reported as group
Promoting interoperability
91
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D41627MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2022 Accepting new patients
Pavel Klein Neurology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

6410 Rockledge Dr
Ste 410
Bethesda, MD 20817
Phone (301) 530-9744

6410 Rockledge Dr
Ste 610
Bethesda, MD 20817
Phone (301) 530-9744

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7347/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1497714018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 610",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171844",
            "telephone_number": "301-530-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 610",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171844",
            "telephone_number": "301-530-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIM",
        "first_name": "JOHANNES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D41627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218551200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.