Individual provider Active NPI

Brooke W Riley, RPA-C

  • Physician Assistant
  • Slingerlands, NY
National Provider Identifier
1144471178
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
012643 Issued in NY
Practice address
1220 New Scotland Rd
Suite 103
Slingerlands, NY 12159-9386
Phone
(518) 439-4326
Fax
(518) 439-6143
NPI assigned
Oct 8, 2008
Last updated
Apr 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 012643 NY Primary

Addresses

Primary practice location

1220 New Scotland Rd
Suite 103
Slingerlands, NY 12159-9386

Mailing address

1220 New Scotland Rd
Suite 103
Slingerlands, NY 12159-9386
Phone (518) 439-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000411 NY Practitioner - Physician Assistant 2961565361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

101 Jordan Rd
Troy, NY 12180-8309
Phone (518) 264-1180

1783 Route 9
Halfmoon, NY 12065-2467
Phone (518) 262-5575

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012643NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Sep 1, 2020 Accepting new patients
Albany Medical College Physician Assistant CurrentSince Sep 1, 2020 Accepting new patients
Albany Medical College CurrentSince Sep 1, 2020 Accepting new patients
Capital Region Physical Therapy, PLLC PastSince Oct 23, 2006 Accepting new patients
Capital Region Neurosurgery, PLLC Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

1220 New Scotland Rd
Ste 103
Slingerlands, NY 12159
Phone (518) 439-4326

6 Executive Park Dr
Stuyvesant Plaza, NY 12203
Phone (518) 482-9111

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1144471178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NEW SCOTLAND RD",
            "address_2": "SUITE 103",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599386",
            "telephone_number": "518-439-4326",
            "fax_number": "518-439-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NEW SCOTLAND RD",
            "address_2": "SUITE 103",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599386",
            "telephone_number": "518-439-4326",
            "fax_number": "518-439-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "BROOKE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

Verify at the official NPI Registry.