Individual provider Active NPI

Erin P Reilly, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, OR
National Provider Identifier
1285602086
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD18391 Issued in OR
Practice address
860 Beltline Rd
Springfield, OR 97477-1091
Phone
(541) 222-6005
Fax
(541) 222-6029
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD18391 OR Primary
Family Medicine Physician 207Q00000X 31525 SC
Family Medicine Physician 207Q00000X MD18391 OR

Addresses

Primary practice location

860 Beltline Rd
Springfield, OR 97477-1091

Mailing address

1520 Knox Ave
North Augusta, SC 29841-4010

Other practice location 1

1400 Valley River Dr Ste 110
Eugene, OR 97401-6758
Phone (541) 222-7378

Other practice location 2

1520 Knox Ave
North Augusta, SC 29841-4010
Phone (803) 279-4120

Other practice location 3

3321 W 11th Ave
Eugene, OR 97402-3040
Phone (541) 222-7200

Other practice location 4

180 Melton Rd
Creswell, OR 97426-9453
Phone (541) 222-7700

Other practice location 5

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5200

Other identifiers 1

IdentifierTypeStateIssuer
056833MedicaidOR

Other names 1

  • Dr. Erin P Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20040419001598 OR Practitioner - Emergency MedicinePractitioner - Family Practice 4385639277 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18391ORMDEmergency Medical Services (Emergency Medicine) Physician
31525SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Current Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Nov 1, 2018 Accepting new patients
Peacehealth Medical Group Family Medicine CurrentSince Aug 2, 1999 Accepting new patients

Locations

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

180 Melton Rd
Creswell, OR 97426
Phone (541) 222-7700

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

3321 W 11th Ave
Eugene, OR 97402
Phone (541) 222-7200

1400 Valley River Dr
Ste 110
Eugene, OR 97401
Phone (541) 222-7370

860 Beltline Rd
Springfield, OR 97477
Phone (541) 222-6005

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: ereilly12374@direct.peacehealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1285602086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 KNOX AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-222-6005",
            "fax_number": "541-222-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Valley River Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016758",
            "country_code": "US",
            "telephone_number": "541-222-7378",
            "fax_number": "541-222-7389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Knox Ave",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298414010",
            "country_code": "US",
            "telephone_number": "803-279-4120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3321 W 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974023040",
            "country_code": "US",
            "telephone_number": "541-222-7200",
            "fax_number": "541-484-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Melton Rd",
            "address_purpose": "LOCATION",
            "city": "Creswell",
            "state": "OR",
            "postal_code": "974269453",
            "country_code": "US",
            "telephone_number": "541-222-7700",
            "fax_number": "541-895-5426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "541-767-5200",
            "fax_number": "541-767-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "ERIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OR",
            "license": "MD18391",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31525",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056833",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "LEWIS",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.