Active NPI
Jeremy Michael Drelich, M.D.
- Allergy & Immunology Physician
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- D46243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222971400 | Medicaid | MD | |
| 001557471 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Potomac Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D46243 | MD | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exemplar, Inc | Current | Accepting new patients | |
| Exxemplar Partners LLC | Current | 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
- 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.
-
- Family Nurse Practitioner
- Cumberland, MD
- NPI 1871846873
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.
-
- Specialist
- Bridgeport, WV
- NPI 1396845236
-
- Specialist
- Bridgeport, WV
- NPI 1437903085
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.