Active NPI
Telesford Reyes, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Glen Burnie, MD
National Provider Identifier
1861440117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- D0014816
- Practice address
- 301 Hospital Dr
Glen Burnie, MD 21061-5803 - Phone
- (410) 787-4000
- NPI assigned
- May 5, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | D0014816 | MD | Primary |
Addresses
Primary practice location
301 Hospital Dr
Glen Burnie, MD 21061-5803
Mailing address
PO Box 64485
Baltimore, MD 21264-4485
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102629 | Other | MD | JOHNS HOPKINS HEALTH CARE |
| 73237 | Other | MD | AMERIGROUP |
| S295 -0003 | Other | DC | CARE FIRST BLUE CROSS |
| 4361641 | Other | MD | AETNA PPO |
| 52076901 | Other | MD | CARE FIRST BLUE CROSS |
| 3057040 | Other | MD | AETNA HMO |
| 8791933 | Other | MD | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0014816 | MD | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1861440117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64485",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615803",
"telephone_number": "410-787-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "TELESFORD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MD",
"license": "D0014816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HEALTH CARE",
"identifier": "102629",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "73237",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BLUE CROSS",
"identifier": "S295 -0003",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4361641",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BLUE CROSS",
"identifier": "52076901",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3057040",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8791933",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
- Remmy Business Services, LLC (Daily Revive Behavioral Health Clinic)
- Remmy Business Services, LLC (Daily Revive Behavioral Health Clinic)
- Renfro Medical Physicians P.a.
- Rent an Assistant
- Shannon K Reveley, DDS
- Caitlin Rhodes, LCPC
- Karen Ann Rhodes, CSC-AD
- Katherine Rice
- Kimberly Layton Rice, APRN
- D. Chimene Richa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.