Jeremy A. Rieks, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-1719 Issued in CO

Practice address

3425 S. Clarkson
Englewood, CO 80113-2811

Phone

(303) 789-8220

Fax

(303) 789-8470

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• CNS Medical Group, PC

  • Physical Medicine & Rehabilitation Physician
  • Englewood, CO
  • NPI 1164536223
  Medicare reassignment

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1154548824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 S. CLARKSON",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132811",
            "telephone_number": "303-789-8220",
            "fax_number": "303-789-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 S. CLARKSON",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132811",
            "telephone_number": "303-789-8220",
            "fax_number": "303-789-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEKS",
        "first_name": "JEREMY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1719",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA-1719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1891908042",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "15204",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Caleb Richards, M.D.
• Karilyn Vaughan Richards, PSYD, LMFT
• Megan Richmond
• Rick S Schwettmann MD PC
• Tanya Nicole Riddle, M.D.
• Dennis Ries, AUD
• Mark W Riggs, D.C., D.A.B.C.I
• Mitchel D Ring, PSYD
• Nolan Ripple, DPT
• Rising From Ashes Occupational Therapy LLC

• Medical Physician Assistant in Englewood, CO
• Providers in Englewood, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.