Individual provider Active NPI

Mark A Reischer, MD

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
National Provider Identifier
1730162801
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0022088 Issued in MD
Practice address
9105 Franklin Square Dr
Suite 318
Baltimore, MD 21237-3930
Phone
(410) 687-4405
Fax
(410) 687-0586
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0022088 MD Primary
Internal Medicine Physician 207R00000X D0022088 MD
Pain Medicine Physician 208VP0000X D0022088 MD
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X DD0022088 MD

Addresses

Primary practice location

9105 Franklin Square Dr
Suite 318
Baltimore, MD 21237-3930

Mailing address

9601 Pulaski Park Dr
Suite 416
Baltimore, MD 21220-1409
Phone (410) 933-5678

Other identifiers 2

IdentifierTypeStateIssuer
971035OtherMDCAQH
348490OtherMDCAREFIRST

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
I20081001000652 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Sports MedicinePractitioner - Pain Management 9638247893
I20230821003831 DC Practitioner - Physical Medicine and Rehabilitation 9638247893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0022088MDMDInternal Medicine Physician
DD0022088MDMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1730162801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 PULASKI PARK DR",
            "address_2": "SUITE 416",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201409",
            "telephone_number": "410-933-5678",
            "fax_number": "410-933-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR",
            "address_2": "SUITE 318",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373930",
            "telephone_number": "410-687-4405",
            "fax_number": "410-687-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISCHER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0022088",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0022088",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "D0022088",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "DD0022088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "971035",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "348490",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.