Organization Active NPI

Jeffrey L. Riney M.D. & Associates PLLC

  • Family Medicine Physician
  • Paducah, KY
National Provider Identifier
1023280674
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in KY
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.NPI 1669495552
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080327000121 KY Part B Supplier - Clinic/Group Practice 9032295332 Receives reassigned benefits from 3 practitioners
Practice locations: Paducah, KY

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: https://api.platform.athenahealth.com/18815/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 207Q00000X KY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
30441OtherKYMEDICAL LICENSE
64304413MedicaidKY
G39461OtherKYUPIN
111458OtherKYBCBS

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.

Verify at the official NPI Registry.