Active NPI
Phillip J Riley, DPM
- Podiatrist
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD653
- Practice address
- 301 Med Tech Pkwy Ste 106
Johnson City, TN 37604-2631 - Phone
- (423) 434-6410
- Fax
- (423) 232-8576
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD653 | TN | Primary |
Addresses
Primary practice location
301 Med Tech Pkwy Ste 106
Johnson City, TN 37604-2631
Mailing address
PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 434-6410
Other practice location 1
301 Med Tech Pkwy Ste 120
Johnson City, TN 37604-2631
Phone (423) 794-5590
Other practice location 2
303 Med Tech Pkwy Ste 100
Johnson City, TN 37604-2392
Phone (423) 282-5611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500
Hospital & facility affiliations
- Amedisys Home Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 100 |
| Removal of nail tissue | 935 |
| Removal or shaving of skin growth | 268 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD653 | TN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Education Assistance Corporation | Current | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| Medical Education Assistance Corporation | Past | Accepting new patients |
Locations
301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239
301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
325 N State of Franklin Rd
Fl 3
Johnson City, TN 37604
Phone (423) 439-7201
303 Med Tech Pkwy
Ste 100
Johnson City, TN 37604
Phone (423) 282-5611
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
301 Med Tech Pkwy
Ste 106
Johnson City, TN 37604
Phone (423) 434-6410
222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200
Interoperability endpoints
- phillipriley@sofha.allscriptsdirect.net
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
-
- Obstetrics & Gynecology Physician
- Johnson City, TN
- NPI 1679842637
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Johnson City, TN
- NPI 1942258769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1043284391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632476",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632476",
"telephone_number": "423-434-6410",
"fax_number": "423-232-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MED TECH PKWY STE 106",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042631",
"telephone_number": "423-434-6410",
"fax_number": "423-232-8576"
}
],
"practiceLocations": [
{
"address_1": "301 Med Tech Pkwy Ste 120",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042631",
"country_code": "US",
"telephone_number": "423-794-5590",
"fax_number": "423-794-5877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Med Tech Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042392",
"country_code": "US",
"telephone_number": "423-282-5611",
"fax_number": "423-282-5712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RILEY",
"first_name": "PHILLIP",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TN",
"license": "MD653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.