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DR. REGINALD M WALLEN M.D.
NPI 1225194210
Family Medicine in Temple Hills, MD

Active since December 28, 2006PECOS Enrolled
6104 OLD BRANCH AVENUE, KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKS, TEMPLE HILLS, MD 20748(301) 702-6100(301) 702-6367 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Reginald M Wallen M.d. NPPES

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

DR. REGINALD M WALLEN M.D. (NPI 1225194210) is an individual family medicine provider in Temple Hills, Maryland, licensed in Maryland (D35317) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225194210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. REGINALD M WALLENCredential: M.D.
Location Address6104 OLD BRANCH AVENUE, KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKSTemple Hills, MD 20748-2518
Mailing Address2101 East Jefferson Street, Kaiser Permanente, Ppqa, 6 West, Attn: Theresa BrooksRockville, MD 20852 · (301) 816-6660 · Fax (301) 816-6308
Phone(301) 702-6100
Fax(301) 702-6367
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225194210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D35317✔ Licensed in VA · 0101044800✔ Licensed in DC · MD16350
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6104 OLD BRANCH AVENUE, Temple Hills, MD 20748
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Other Identifiers 2

Medicare UPINC88963MD
Medicare ID-Type UnspecifiedK679H314MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Reginald M Wallen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHINYERE WOGU DIKE MD
Optometrist (Pediatrics)
6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
Prince George's County (301) 702-6100
DR. JENNY ANNE JOHN MD
Internal Medicine
6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
Prince George's County (301) 702-6100
DR. THU BICH NGUYEN MD
Internal Medicine
6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
Prince George's County (301) 702-6100
DR. AISHA PETERSON JOHNSON M.D.
Family Medicine
6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
Prince George's County (301) 702-6100
DR. ANDREA KARIN PROSSER MD
Pediatrics
6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
Prince George's County (301) 702-6100
DR. SHARADA JAIN MD
Family Medicine
6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
Prince George's County (301) 702-6100
DR. WENDY ANN J HUTCHESON MD
Family Medicine
6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
Prince George's County (301) 702-6100
DR. SUCHITRA M BALAKRISHNAN MD
Family Medicine
6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
Prince George's County (301) 702-6100

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 Reginald Wallen's NPI number?

The NPI number for Reginald Wallen is 1225194210. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Reginald Wallen located?

Reginald Wallen practices at 6104 Old Branch Avenue Kaiser Permanente, Ppqa, 6 West, Attn Theresa Brooks, Temple Hills, MD 20748. The listed phone number is (301) 702-6100.

What is Reginald Wallen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Reginald Wallen enrolled in Medicare?

Yes. Reginald Wallen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reginald Wallen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.