Active NPI
Daniel Redziniak, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- D67591
- Practice address
- 2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742 - Phone
- (410) 268-8862
- Fax
- (410) 268-0380
- NPI assigned
- Jun 8, 2007
- Last updated
- Mar 4, 2010
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D67591 | MD | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | D67591 | MD | Primary |
Addresses
Primary practice location
2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742
Mailing address
2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742
Phone (410) 268-8862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1106 Annapolis Rd
Suite 130
Odenton, MD 21113-1739
Phone (410) 268-8862
2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3743
Phone (410) 268-8862
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
2003 Medical Pkwy
Annapolis, MD 21401-3081
2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286
4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300
4175 N Hanson CT
Bowie, MD 20716-3181
4175 N Hanson CT
Suite 301
Bowie, MD 20716-3186
Phone (410) 268-8862
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D67591 | MD | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic and Sports Medicine Center LLC | Sports Medicine | Past | Accepting new patients |
| Orthopaedic and Sports Medicine Center LLC | Sports Medicine | Past | Accepting new patients |
Locations
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
201 Defense Hwy
Ste 150
Annapolis, MD 21401
15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
Interoperability endpoints
- dredziniak4811@direct.aahs.org
Organizations & group practices 8
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.
-
dba Luminis Health Maternal and Fetal Medicine
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
dba Annapolis Surgical Oncology Associates
- Surgery Physician
- Annapolis, MD
- NPI 1649248485
DC
-
dba Ortho and Sports Medicine Center
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1780824615
-
dba DCMC Breast Center Care
- Surgery Physician
- Lanham, MD
- NPI 1477187052
-
dba Annapolis Surgical Oncology Associates
- Surgical Oncology Physician
- Chester, MD
- NPI 1700113776
-
dba LH Primary Care North Hanson
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Annapolis, MD
- NPI 1083617625
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Bowie, MD
- NPI 1245439595
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1942403514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "SUITE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-268-8862",
"fax_number": "410-268-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "SUITE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-268-8862",
"fax_number": "410-268-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDZINIAK",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D67591",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MD",
"license": "D67591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.