Individual provider Active NPI

John Reeder, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1932104148
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D30266 Issued in MD
Practice address
5400 Kennedy Ave
Cincinnati, OH 45213
Phone
(513) 281-3400
Fax
(513) 527-2275
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-077722 OH
Diagnostic Radiology Physician 2085R0202X D30266 MD Primary

Addresses

Primary practice location

5400 Kennedy Ave
Cincinnati, OH 45213

Mailing address

4239 Buckskin Wood Dr
Ellicott City, MD 21042-1217
Phone (410) 988-9307

Other identifiers 1

IdentifierTypeStateIssuer
2251334MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20031112000333 MD Practitioner - Diagnostic Radiology 7810800018 Reassigns benefits to 2 organizations
I20200127001595 DE Practitioner - Diagnostic Radiology 7810800018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

1 Stream CT
Owings Mills, MD 21117-2351
Phone (585) 218-8002

4239 Buckskin Wood Dr
Ellicott City, MD 21042-1217
Phone (585) 218-8019

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D30266MDMDDiagnostic Radiology Physician
35-077722OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Medical, LLC CurrentSince Aug 4, 2020 Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Aug 11, 2019 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology Past Accepting new patients
Advanced Radiology P a Diagnostic Radiology Past Accepting new patients
DRS. Hill & Thomas Co. Diagnostic Radiology Past Accepting new patients
Proscan Radiology Buffalo, PLLC Diagnostic Radiology Past Accepting new patients
DRS. Hill & Thomas Co. Past Accepting new patients
Koniver Fiss Mansoory MD PA Diagnostic Radiology Past Accepting new patients

Locations

40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990

1 Centurian Dr
Ste 106
Newark, DE 19713
Phone (302) 322-9240

3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160

27443 Network Pl
Chicago, IL 60673

29493 Network Pl
Chicago, IL 60673

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

3510 Old Washington Rd
Ste 101
Waldorf, MD 20602
Phone (301) 638-2457

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1932104148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 BUCKSKIN WOOD DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421217",
            "telephone_number": "410-988-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45213",
            "telephone_number": "513-281-3400",
            "fax_number": "513-527-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-077722",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D30266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2251334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.