Active NPI
John Richard Reilly, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
National Provider Identifier
1124061510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD16171
- Practice address
- 4200 Wisconsin Ave NW
#223
Washington, DC 20016-2143 - Phone
- (202) 466-1800
- Fax
- (202) 452-1542
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD16171 | DC | Primary |
Addresses
Primary practice location
4200 Wisconsin Ave NW
#223
Washington, DC 20016-2143
Mailing address
4200 Wisconsin Ave NW
#223
Washington, DC 20016-2143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16171 | DC | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1124061510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW",
"address_2": "#223",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW",
"address_2": "#223",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162143",
"telephone_number": "202-466-1800",
"fax_number": "202-452-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "DC",
"license": "MD16171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.