Active NPI
Jeffrey L. Riney M.D. & Associates PLLC
- Family Medicine Physician
- Paducah, KY
National Provider Identifier
1023280674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 207Q00000X
- Legal business name
- JEFFREY L. RINEY M.D. & ASSOCIATES PLLC
- Practice address
- 225 Medical Center Dr
Suite 209B
Paducah, KY 42003-7914 - Phone
- (270) 441-4610
- Fax
- (270) 441-4608
- NPI assigned
- Mar 24, 2008
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Jeffrey L Riney, M.D.
- Title
- Owner
- Phone
- (270) 441-4610
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Paducah, KY
- NPI 1013961895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080327000121 | KY | Part B Supplier - Clinic/Group Practice | 9032295332 |
Receives reassigned benefits from 3 practitioners Practice locations: Paducah, KY |
National Provider Directory
National Provider DirectoryLocations
225 Medical Center Dr
Ste 209B
Paducah, KY 42003
Phone (270) 441-4610
2413 New Holt Rd
Paducah, KY 42001
Phone (270) 558-0770
Interoperability endpoints
- https://api.platform.athenahealth.com/18815/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207Q00000X | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
225 Medical Center Dr
Suite 209B
Paducah, KY 42003-7914
Mailing address
225 Medical Center Dr
Suite 209B
Paducah, KY 42003-7914
Phone (270) 441-4610
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30441 | Other | KY | MEDICAL LICENSE |
| 64304413 | Medicaid | KY | |
| G39461 | Other | KY | UPIN |
| 111458 | Other | KY | BCBS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1023280674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR",
"address_2": "SUITE 209B",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037914",
"telephone_number": "270-441-4610",
"fax_number": "270-441-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR",
"address_2": "SUITE 209B",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037914",
"telephone_number": "270-441-4610",
"fax_number": "270-441-4608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY L. RINEY M.D. & ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-24",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "RINEY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-441-4610",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "207Q00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "30441",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64304413",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G39461",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "111458",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.