Individual provider Active NPI

Jared Wayne Reaves, MD

  • Physical Medicine & Rehabilitation Physician
  • Columbia, MD
National Provider Identifier
1679754188
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0074865 Issued in MD
Practice address
10816 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone
(877) 306-2217
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101249265 VA
Physical Medicine & Rehabilitation Physician 208100000X D0074865 MD Primary

Addresses

Primary practice location

10816 Hickory Ridge Rd
Columbia, MD 21044-3622

Mailing address

6029 Watch Chain Way
Columbia, MD 21044-4714
Phone (877) 306-2217

Other identifiers 14

IdentifierTypeStateIssuer
-017OtherVATRICARE/CHAMPUS
PAROtherVAVIRGINIA HEALTH NETWORK
5917488MedicaidNC
1679754188MedicaidVA
PAROtherVACORVEL
PAROtherVAUNITED HEALTHCARE/MAMSI
PAROtherVACIGNA
10078676OtherVAOPTIMA HEALTH
PAROtherVAUSA MANAGED CARE
PAROtherVAVIRGINIA PREMIER HEALTH PLAN
PAROtherVAMULTIPLAN
1679754188OtherVAFIRST HEALTH NETWORK/COVENTRY HEALTH/SOUTHERN HEALTH
438177OtherVAANTHEM BC/BS
PAROtherVAAETNA

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
I20130502000510 MD Practitioner - Physical Medicine and Rehabilitation 5890964308 Reassigns benefits to 2 organizations
I20140402000141 DC Practitioner - Physical Medicine and Rehabilitation 5890964308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Maryland School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2200 Kernan Dr
Gwynn Oak, MD 21207-6665
Phone (410) 448-2500

2900 Mercy LN
Cheverly, MD 20785-1157
Phone (301) 618-2273

6029 Watch Chain Way
Columbia, MD 21044-4714
Phone (301) 237-2635

6410 Rockledge Dr
Bethesda, MD 20817-1844

7150 Contee Rd
Laurel, MD 20707-9527
Phone (240) 677-7250

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates Inc CurrentSince Jan 11, 2014 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 1, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jan 11, 2014 Accepting new patients
Method PM&R LLC Physical Medicine & Rehabilitation CurrentSince Sep 18, 2023 Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

10816 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 997-7677

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHCCDD/Endpoint/IHCCDD
  • Direct secure messaging: jreaves231042@direct.umm.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1679754188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 WATCH CHAIN WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444714",
            "telephone_number": "877-306-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443622",
            "telephone_number": "877-306-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "JARED",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101249265",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0074865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "-017",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917488",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679754188",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE/MAMSI",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "10078676",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH PLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK/COVENTRY HEALTH/SOUTHERN HEALTH",
            "identifier": "1679754188",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "438177",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PAR",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.