Individual provider Active NPI

Renee E Riddle, MD

  • Pediatrics Physician
  • West Reading, PA
National Provider Identifier
1093780231
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D59067 Issued in MD
Practice address
206 S 6TH Ave
West Reading, PA 19611-1411
Phone
(484) 628-5437
NPI assigned
Feb 21, 2006
Last updated
May 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D59067 MD Primary

Addresses

Primary practice location

206 S 6TH Ave
West Reading, PA 19611-1411

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0799

Other practice location 1

6th Avenue and Spruce Street
West Reading, PA 19611
Phone (484) 628-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000491 PA Practitioner - Pediatric Medicine 5890790331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D59067MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Nov 6, 2023 Accepting new patients
Reading Hospital CurrentSince Apr 1, 2017 Accepting new patients
Reading Hospital Pediatrics CurrentSince Apr 1, 2017 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Jun 5, 2017 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Nov 6, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Jun 5, 2017 Accepting new patients
Phoenixville Clinic Company LLC Current Accepting new patients
Reading Hospital Current Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Reading Professional Services Past Accepting new patients
Reading Hospital Pediatrics Past Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients

Locations

420 W Linfield Trappe Rd
Ste 3100
Limerick, PA 19468
Phone (484) 628-5673

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
  • Direct secure messaging: rriddle6866@direct.readinghealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1093780231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S 6TH AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111411",
            "telephone_number": "484-628-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6th Avenue and Spruce Street",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "19611",
            "country_code": "US",
            "telephone_number": "484-628-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "RENEE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D59067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.