Active NPI
Ann E Reilly, MD
- Internal Medicine Physician
- Paoli, PA
National Provider Identifier
1295784635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD023144E
- Practice address
- 30 South Valley Road
Suite 209
Paoli, PA 19301-1473 - Phone
- (610) 296-0222
- Fax
- (610) 296-3255
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD023144E | PA | Primary |
Addresses
Primary practice location
30 South Valley Road
Suite 209
Paoli, PA 19301-1473
Mailing address
30 South Valley Road
Suite 209
Paoli, PA 19301-1473
Phone (610) 296-0222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071113000552 | PA | Practitioner - Internal Medicine | 3375631039 | Practice locations: Paoli, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
30 S Valley Rd
Suite 209
Paoli, PA 19301-1473
Phone (610) 296-0222
Hospital & facility affiliations
- Main Line Health Home Care & Hospice - Home Health
- Paoli Hospital
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
- Hospital of Univ of Pennsylvania
- Riddle Memorial Hospital
- Bryn Mawr Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.56 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1295784635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SOUTH VALLEY ROAD",
"address_2": "SUITE 209",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011473",
"telephone_number": "610-296-0222",
"fax_number": "610-296-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SOUTH VALLEY ROAD",
"address_2": "SUITE 209",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011473",
"telephone_number": "610-296-0222",
"fax_number": "610-296-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "ANN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD023144E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.