Active NPI
Reynaldo P Madrinan, M.D.
- Urology Physician
- Westminster, MD
National Provider Identifier
1710955133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0008306
- Practice address
- 410 Malcolm Dr
Suite a
Westminster, MD 21157-6160 - Phone
- (410) 876-1633
- Fax
- (410) 840-2100
- NPI assigned
- Mar 10, 2006
- Last updated
- Apr 23, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0008306 | MD | Primary |
Addresses
Primary practice location
410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Mailing address
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117-5421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77591600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0008306 | MD | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Urology Associates, LLC | Current | Accepting new patients | |
| Chesapeake Urology Associates, LLC | Urology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chesapeake Oncology Hematology Associates
- Hematology & Oncology Physician
- Stevensville, MD
- NPI 1467337337
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Urology Physician
- Seaford, DE
- NPI 1043719123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1710955133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CROSSROADS DR",
"address_2": "STE 306",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 MALCOLM DR",
"address_2": "SUITE A",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576160",
"telephone_number": "410-876-1633",
"fax_number": "410-840-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRINAN",
"first_name": "REYNALDO",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D0008306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77591600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.