Thomas Michael Reilly, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A48776 Issued in CA

Practice address

4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702

Phone

(818) 907-4570

Fax

(818) 907-2814

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Emergency MedicineAlso: Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Sound Physicians Emergency Medicine of Southern California PCGroup PAC ID 9436406964, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
• Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067

Merit-based Incentive Payment System (MIPS)

Final score

96.69 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  CA, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843

  CA, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Sound Physicians Emergency Medicine of Southern California, P.C.

  • Emergency Medicine Physician
  • Oakdale, CA
  • NPI 1194180968

  CA

  Medicare reassignment Care Compare group
• Grand Avenue Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1962913632

  CA, Emergency Medicine

  Medicare reassignment NPD
• Hollywood Presbyterian Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1972826931

  CA, Emergency Medicine

  Medicare reassignment NPD
• Sherman Oaks Emergency Medical Associates

  • Emergency Medicine Physician
  • Sherman Oaks, CA
  • NPI 1518904150

  CA, Emergency Medicine

  Medicare reassignment NPD
• Team Physicians of Northern California Medical Group Inc

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1649692716

  CA, Emergency Medicine

  Medicare reassignment NPD
• Valley Presbyterian Emergency Medical Associates

  • Emergency Medicine Physician
  • Van Nuys, CA
  • NPI 1033133103

  CA, Emergency Medicine

  Medicare reassignment NPD
• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923

  CA

  Medicare reassignment
• West Hills Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1275761249

  CA

  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Santa Cruz, CA
  • NPI 1811274483

  Emergency Medicine

  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Lynwood, CA
  • NPI 1932596848

  Emergency Medicine

  NPD

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

• Oak Valley Hospital District

  • General Acute Care Hospital
  • Oakdale, CA
  • NPI 1346381415

  Hospital

  Care Compare affiliation
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1265475115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORDOVA ST",
            "address_2": "APT #155",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012451",
            "telephone_number": "626-786-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031702",
            "telephone_number": "818-907-4570",
            "fax_number": "818-907-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A48776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A487760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emy Reid, FNP
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• Ariella Sandra Reisner, PSY.D
• Rejuvenation Center Clinic Group Inc
• Relentless Pursuit Therapy & Consulting
• Anne Margaret Renaud, PHD

• All providers in Sherman Oaks, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.