OUTREACH RECOVERY II, LLC
NPI 1801452362
Preventive Medicine - Addiction Medicine in Waldorf, MD

Active since May 10, 2019
11340 PEMBROOKE SQ STE 214, WALDORF, MD 20603(410) 800-4466 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2024, Jan 2, 2020, Jun 11, 2019 and 1 more (4 updates tracked since 2019).

About Outreach Recovery Ii, Llc NPPES

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

OUTREACH RECOVERY II, LLC (NPI 1801452362) is a healthcare organization registered as an addiction medicine in Waldorf, Maryland and active in the NPI registry since May 2019. The organization lists Isiah Coles, Coo, as its authorized official.

NPPES Registry Identity

NPI1801452362
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameOUTREACH RECOVERY II, LLC
Location Address11340 PEMBROOKE SQ STE 214Waldorf, MD 20603-4808
Mailing Address14205 Park Center Dr # 201202Laurel, MD 20707-5246 · (410) 800-4466
Organization SubpartNo
Authorized OfficialIsiah ColesCoo · (561) 502-3978
Enumeration DateMay 10, 2019
Last NPPES UpdateJuly 31, 20244 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1801452362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedFamily MedicineTaxonomy 207Q00000X
11340 PEMBROOKE SQ STE 214, Waldorf, MD 20603

Other Identifiers 1

Medicaid777797300MD

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, Llc 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, LLC, 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 1578105326
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1043736846
11120 NEW HAMPSHIRE AVE STE 501
Silver Spring, MD 20904
(240) 437-4602
✔ PECOS✔ Accepts Medicare29 mi
Mental Health Counselor
NPI 1356613392
3509 SHEFFIELD MANOR TER APT 201
Silver Spring, MD 20904
(301) 857-2937
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1619768728
588 BELLERIVE DR STE 1D
Annapolis, MD 21409
(443) 949-5322
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1780190595
12114 BLUE FLAG WAY
Columbia, MD 21044
(301) 741-0307
✔ PECOS✔ Accepts Medicare41 mi
Internal Medicine
NPI 1669516118
222 N CHARLES ST STE 101B
Baltimore, MD 21201
(410) 685-8665
✔ PECOS✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1710687918
72 GREENE ST
Cumberland, MD 21502
(667) 280-7066
✔ PECOS✔ Accepts Medicare122 mi
Family Practice
NPI 1861557795
602 W. MAPLE AVE.
Merchantville, NJ 08109
(856) 375-1500
✔ PECOS✔ Accepts Medicare135 mi
Physical Medicine and Rehabilitation
NPI 1871844720
67 WALL ST APT 10F
New York, NY 10005
(405) 306-0384
✔ PECOS✔ Accepts Medicare212 mi
Family Practice
NPI 1932588449
500 KIRTS BLVD STE 200
Troy, MI 48084
(248) 824-6060
✔ PECOS✔ Accepts Medicare426 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, LLC's NPI number?

The NPI number for Outreach Recovery II, LLC is 1801452362. It was assigned to this organization in the NPPES registry on May 10, 2019.

Where is Outreach Recovery II, LLC located?

Outreach Recovery II, LLC is located at 11340 Pembrooke Sq Ste 214, Waldorf, MD 20603. The listed phone number is (410) 800-4466.

What is Outreach Recovery II, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Outreach Recovery II, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Outreach Recovery II, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Outreach Recovery II, LLC. 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, LLC 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.