NPIMap

Individual provider Active NPI

Mary Ann Riley, D.O.

  • Internal Medicine Physician
  • Lavale, MD
National Provider Identifier
1174736441
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2205 Issued in WV
Practice address
1313 National Hwy
Lavale, MD 21502-7618
Phone
(240) 362-0288
Fax
(240) 362-0052
NPI assigned
May 7, 2007
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2205 WV Primary

Addresses

Primary practice location

1313 National Hwy
Lavale, MD 21502-7618

Mailing address

1313 National Hwy
Lavale, MD 21502-7618
Phone (240) 362-0288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225002061 MD Practitioner - Internal Medicine 3678643749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12502 Willowbrook Rd
Suite 680
Cumberland, MD 21502-6620
Phone (240) 964-8921

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2205WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jan 13, 2015 Accepting new patients
Upmc Western Maryland Corporation Internal Medicine Current Accepting new patients
Upmc Western Maryland Health Services, LLC Internal Medicine Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jan 13, 2015 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Dec 1, 2022 Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 680
Cumberland, MD 21502
Phone (240) 964-8921

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

1313 National Hwy
Ste 680
Lavale, MD 21502
Phone (240) 362-0288

Interoperability endpoints

  • Direct secure messaging: mary.a.riley2@upmcdirect.com
  • Direct secure messaging: mriley212418@upmc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Upmc Western MarylandCumberland, MD, CCN 211534 Hospice Other Jul 27, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 8

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1174736441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027618",
            "telephone_number": "240-362-0288",
            "fax_number": "240-362-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027618",
            "telephone_number": "240-362-0288",
            "fax_number": "240-362-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

Verify at the official NPI Registry.