OUTREACH RECOVERY II
NPI 1114614526
Internal Medicine - Addiction Medicine in Lexington Park, MD

Active since April 18, 2023
21552 THAMES AVE STE 201202, LEXINGTON PARK, MD 20653(410) 800-4466 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Outreach Recovery Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTREACH RECOVERY II (NPI 1114614526) is a healthcare organization registered as an addiction medicine in Lexington Park, Maryland and active in the NPI registry since April 2023. The organization lists Isiah Coles, Coo, as its authorized official.

NPPES Registry Identity

NPI1114614526
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameOUTREACH RECOVERY II
Location Address21552 THAMES AVE STE 201202Lexington Park, MD 20653-4009
Mailing Address14205 Park Center Dr # 201202Laurel, MD 20707-5246 · (410) 800-4466
Organization SubpartYes
Authorized OfficialIsiah ColesCoo · (561) 502-3978
Enumeration DateApril 18, 2023
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1114614526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
21552 THAMES AVE STE 201202, Lexington Park, MD 20653

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Outreach Recovery Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Outreach Recovery II, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner5
Family Practice2
Internal Medicine1
Mental Health Counselor1
Physical Medicine and Rehabilitation1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1619768728
588 BELLERIVE DR STE 1D
Annapolis, MD 21409
(443) 949-5322
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1578105326
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1043736846
11120 NEW HAMPSHIRE AVE STE 501
Silver Spring, MD 20904
(240) 437-4602
✔ PECOS✔ Accepts Medicare61 mi
Mental Health Counselor
NPI 1356613392
3509 SHEFFIELD MANOR TER APT 201
Silver Spring, MD 20904
(301) 857-2937
✔ PECOS✔ Accepts Medicare63 mi
Nurse Practitioner
NPI 1780190595
12114 BLUE FLAG WAY
Columbia, MD 21044
(301) 741-0307
✔ PECOS✔ Accepts Medicare70 mi
Internal Medicine
NPI 1669516118
222 N CHARLES ST STE 101B
Baltimore, MD 21201
(410) 685-8665
✔ PECOS✔ Accepts Medicare72 mi
Family Practice
NPI 1861557795
602 W. MAPLE AVE.
Merchantville, NJ 08109
(856) 375-1500
✔ PECOS✔ Accepts Medicare138 mi
Nurse Practitioner
NPI 1710687918
72 GREENE ST
Cumberland, MD 21502
(667) 280-7066
✔ PECOS✔ Accepts Medicare158 mi
Physical Medicine and Rehabilitation
NPI 1871844720
67 WALL ST APT 10F
New York, NY 10005
(405) 306-0384
✔ PECOS✔ Accepts Medicare213 mi
Family Practice
NPI 1932588449
500 KIRTS BLVD STE 200
Troy, MI 48084
(248) 824-6060
✔ PECOS✔ Accepts Medicare462 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Outreach Recovery II's NPI number?

The NPI number for Outreach Recovery II is 1114614526. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Outreach Recovery II located?

Outreach Recovery II is located at 21552 Thames Ave Ste 201202, Lexington Park, MD 20653. The listed phone number is (410) 800-4466.

What is Outreach Recovery II's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Outreach Recovery II enrolled in Medicare?

Yes. Outreach Recovery II is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Outreach Recovery II?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Outreach Recovery II. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Outreach Recovery II was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.