Active NPI
Joseph Michael Reilly, M.D.
- Clinical Cardiac Electrophysiology Physician
- Hagerstown, MD
National Provider Identifier
1902887342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- D0029302
- Practice address
- 1733 Howell Rd
Hagerstown, MD 21740-6638 - Phone
- (301) 797-2525
- Fax
- (301) 797-5519
- NPI assigned
- Nov 11, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0029302 | MD | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | D0029302 | MD | Primary |
Addresses
Primary practice location
1733 Howell Rd
Hagerstown, MD 21740-6638
Mailing address
1733 Howell Rd
Hagerstown, MD 21740-6638
Phone (301) 797-2525
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1140724 | Other | MD | UNITED HEALTHCARE |
| 1314019001 | Other | MD | CIGNA |
| 3004298000 | Medicaid | WV | |
| 35053808 | Other | MD | BC/BS |
| 540587 | Other | PA | BC/BS |
| 464351800 | Medicaid | MD | |
| 145744300 | Other | US DEPT OF LABOR | |
| B3890007 | Other | DC | BC/BS |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0029302 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Baltimore Heart Associates, P.a. | Cardiovascular Disease | Past | Accepting new patients |
Locations
11116 Medical Campus Rd
Ste 2810
Hagerstown, MD 21742
Phone (240) 313-9580
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1184477911
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hagerstown, MD
- NPI 1659396851
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1902887342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 HOWELL RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406638",
"telephone_number": "301-797-2525",
"fax_number": "301-797-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 HOWELL RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406638",
"telephone_number": "301-797-2525",
"fax_number": "301-797-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0029302",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MD",
"license": "D0029302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1140724",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1314019001",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3004298000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "35053808",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "540587",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "464351800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "145744300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "B3890007",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.