Individual provider Active NPI

Reece Bartell, PA-C

  • Physician Assistant
  • Fallston, MD
National Provider Identifier
1891450284
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C08309 Issued in MD
Practice address
2315 Bel Air Rd Ste C1
Fallston, MD 21047-2741
Phone
(443) 966-3900
NPI assigned
Nov 1, 2021
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C08309 MD Primary
Medical Physician Assistant 363AM0700X MA063039 PA

Addresses

Primary practice location

2315 Bel Air Rd Ste C1
Fallston, MD 21047-2741

Mailing address

5550 Doral Dr
Wilmington, DE 19808-2629
Phone (443) 504-2490

Other practice location 1

1420 Phoenixville Pike
West Chester, PA 19380-1438
Phone (361) 660-3474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613000916 MD Practitioner - Physician Assistant 8426436981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians

Practice addresses (Care Compare)

1528 Rock Spring Rd
Suite 100
Forest Hill, MD 21050-2861
Phone (443) 776-1131

1730 Merritt Blvd
Dundalk, MD 21222-3212
Phone (410) 650-4730

2315 Bel Air Rd
Suite C1
Fallston, MD 21047-2741
Phone (443) 966-3900

711 W 40TH St
Suite 173
Baltimore, MD 21211-2147
Phone (443) 961-1221

8 Denton PLZ
Denton, MD 21629-9501
Phone (443) 606-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA063039PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince May 13, 2022 Accepting new patients
Umms Ambulatory Care LLC CurrentSince May 13, 2022 Accepting new patients

Locations

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Interoperability endpoints

  • Direct secure messaging: rbartell472266@direct.umm.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1891450284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 DORAL DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082629",
            "telephone_number": "443-504-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BEL AIR RD STE C1",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472741",
            "telephone_number": "443-966-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Phoenixville Pike",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193801438",
            "country_code": "US",
            "telephone_number": "361-660-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTELL",
        "first_name": "REECE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08309",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallston, MD

Sources for this page

Verify at the official NPI Registry.