Jeffery Joseph Redenbaugh, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1212 York Rd Ste B201
Lutherville, MD 21093-6242

Phone

(410) 824-3787

Fax

(410) 825-3787

NPI assigned

Oct 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC, PA3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samer Saiedy MD PAGroup PAC ID 5698850956, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Merit-based Incentive Payment System (MIPS)

Final score

88.71 of 100Reported as group

Quality

80.33

Promoting interoperability

100

Improvement activities

40

Cost

71.86

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jeffery.redenbaugh.1@16925.direct.athenahealth.com

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.

• Samer Saiedy, MD PA

  • Specialist
  • Cockeysville, MD
  • NPI 1710164504

  DC, PA

  Medicare reassignment Care Compare group
• Podiatry Associates, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Bel Air, MD
  • NPI 1487879938
  NPD (past)
• Samer Saiedy MD PA

  • Vascular Surgery Physician
  • Columbia, MD
  • NPI 1568215952
  NPD (past)
• Samer Saiedy MD PA

  • Vascular Surgery Physician
  • York, PA
  • NPI 1912750316
  NPD (past)

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

• Adventist Rehabilitation Hospital of Maryland Inc

  • Rehabilitation Hospital
  • Rockville, MD
  • NPI 1043216773

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1992477137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OLD PADONIA RD STE 101",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304944",
            "telephone_number": "410-825-4530",
            "fax_number": "410-825-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 YORK RD STE B201",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936242",
            "telephone_number": "410-824-3787",
            "fax_number": "410-825-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDENBAUGH",
        "first_name": "JEFFERY",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "C0008184",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jredenbaugh@mvsdoctors.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1212 York Rd Ste B201",
            "city": "Lutherville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210936242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Razzak Tucker Kafonek & Hansen MD PA
• Ibrahim Abdala Abdel M Razzak, M.D.
• Re-Set Lab & Diagnostics LLC
• Re-Set Lab & Diagnostics LLC
• Reddy & Afram LLC
• Redesign Organization
• Kimberly Reilly, CRNP
• Lauren Danielle Reschke, M.D
• Jose Javier Reyes, PHARMD
• Susan Frances Ricard, PTA

• Surgical Physician Assistant in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.

Verify at the official NPI Registry.