NPIMap

Individual provider Active NPI

Douglas David Reh, M.D.

  • Otolaryngology Physician
  • Lutherville Timonium, MD
National Provider Identifier
1982725917
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D66214 Issued in MD
Practice address
10751 Falls Rd Ste 406-408
Lutherville Timonium, MD 21093-4517
Phone
(410) 955-2307
NPI assigned
Apr 3, 2007
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 228108 MA
Otolaryngology Physician 207Y00000X D66214 MD Primary

Addresses

Primary practice location

10751 Falls Rd Ste 406-408
Lutherville Timonium, MD 21093-4517

Mailing address

PO Box 64588
Baltimore, MD 21264-4588
Phone (410) 955-2307

Other identifiers 1

IdentifierTypeStateIssuer
014507600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000656 MD Practitioner - Otolaryngology 1759474190 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Rochester School of Medicine and Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

6535 N Charles St
Baltimore, MD 21204-5829

6565 N Charles St
Suite 601
Baltimore, MD 21204-5801
Phone (410) 821-5151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228108MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Johns Hopkins University CurrentSince Aug 7, 2007 Accepting new patients
Centers for Advanced ENT Care, LLC Otolaryngology CurrentSince Dec 1, 2017 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Johns Hopkins University Otolaryngology CurrentSince Aug 7, 2007 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cumberland Valley ENT Consultants Otolaryngology Past Accepting new patients

Locations

11350 McCormick Rd
Ste 102
Hunt Valley, MD 21065
Phone (410) 821-5151

10751 Falls Rd
Ste 406
Timonium, MD 21093

120 Sister Pierre Dr
Ste 202
Towson, MD 21204
Phone (410) 216-4945

6535 N Charles St
Ste 250
Towson, MD 21204
Phone (443) 849-2140

6565 N Charles St
Ste 601
Towson, MD 21204
Phone (410) 821-5151

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

8322 Bellona Ave
Ste 300
Towson, MD 21204
Phone (410) 296-0414

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1982725917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64588",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644588",
            "telephone_number": "410-955-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 FALLS RD STE 406-408",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934517",
            "telephone_number": "410-955-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REH",
        "first_name": "DOUGLAS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "228108",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D66214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014507600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.