Individual provider Active NPI

Jeremy Michael Drelich, M.D.

  • Allergy & Immunology Physician
  • Cumberland, MD
National Provider Identifier
1679560544
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D46243 Issued in MD
Practice address
301 Washington St
Cumberland, MD 21502-2828
Phone
(301) 777-3300
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X D46243 MD Primary

Addresses

Primary practice location

301 Washington St
Cumberland, MD 21502-2828

Mailing address

301 Washington St
Cumberland, MD 21502-2828
Phone (301) 777-3300

Other identifiers 2

IdentifierTypeStateIssuer
222971400MedicaidMD
001557471MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 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
I20100520000780 MD Practitioner - Allergy/Immunology 2668508219 Receives reassigned benefits from 1 practitioner
Practice locations: Cumberland, MD
I20200928002587 WV Practitioner - Allergy/Immunology 2668508219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Rutgers New Jersey Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Avery Olivia Way
Suite C
Fairmont, WV 26554-9375

153 W Main St
Bridgeport, WV 26330-1714

301 Washington St
Cumberland, MD 21502-2828

Hospital & facility affiliations

  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027
  • Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D46243MDMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exemplar, Inc CurrentSince Sep 1, 2020 Accepting new patients
Exxemplar Partners LLC CurrentSince Jul 1, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

153 W Main St
Bridgeport, WV 26330
Phone (304) 848-2400

100 Avery Olivia Way
Ste C
Fairmont, WV 26554

100 Avery Olivia Way
Ste B
Fairmont, WV 26554
Phone (304) 333-1650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHHECA/Endpoint/CHHECA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Hospital & facility affiliations 5

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1679560544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WASHINGTON ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022828",
            "telephone_number": "301-777-3300",
            "fax_number": "301-777-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WASHINGTON ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022828",
            "telephone_number": "301-777-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRELICH",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D46243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222971400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001557471",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.