Active NPI
Jared Wayne Reaves, MD
- Physical Medicine & Rehabilitation Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- D0074865
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| -017 | Other | VA | TRICARE/CHAMPUS |
| PAR | Other | VA | VIRGINIA HEALTH NETWORK |
| 5917488 | Medicaid | NC | |
| 1679754188 | Medicaid | VA | |
| PAR | Other | VA | CORVEL |
| PAR | Other | VA | UNITED HEALTHCARE/MAMSI |
| PAR | Other | VA | CIGNA |
| 10078676 | Other | VA | OPTIMA HEALTH |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| PAR | Other | VA | MULTIPLAN |
| 1679754188 | Other | VA | FIRST HEALTH NETWORK/COVENTRY HEALTH/SOUTHERN HEALTH |
| 438177 | Other | VA | ANTHEM BC/BS |
| PAR | Other | VA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Healthcare Associates Inc | Current | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients | |
| Method PM&R LLC | Physical Medicine & Rehabilitation | Current | 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
- https://fhir4.healow.com/fhir/r4/IHCCDD/Endpoint/IHCCDD
- 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.
-
dba PGHC Anesthesia Associates
- Anesthesiology Physician
- Largo, MD
- NPI 1346354834
DC
-
- Physical Medicine & Rehabilitation Physician
- Columbia, MD
- NPI 1760268965
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
dba NRH Rehabilitation Network at Bethesda
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
dba University of Maryland Capital Region Health Medical Group
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1407486293
-
dba University of Maryland Capital Region Health Medical Group
- Obstetrics & Gynecology Physician
- Laurel, MD
- NPI 1407916646
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1841337805
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.