Individual provider Active NPI

David E. Riester, M.D.

  • Allergy & Immunology Physician
  • Leominster, MA
National Provider Identifier
1306843941
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
217636 Issued in MA
Practice address
79 Erdman Way
Suite 101
Leominster, MA 01453
Phone
(978) 537-4805
Fax
(978) 537-2185
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 217636 MA Primary

Addresses

Primary practice location

79 Erdman Way
Suite 101
Leominster, MA 01453

Mailing address

79 Erdman Way
Suite 101
Leominster, MA 01453
Phone (978) 537-4805

Other identifiers 1

IdentifierTypeStateIssuer
110034333AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051219000143 MA Practitioner - Allergy/Immunology 0840211264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Physicians PCGroup PAC ID 6103859103, 5 clinicians

Practice addresses (Care Compare)

3 Woodland Rd
Suite 217
Stoneham, MA 02180-1711
Phone (781) 395-2922

79 Erdman Way
Suite 101
Leominster, MA 01453-1805
Phone (978) 537-4805

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Physicians PC CurrentSince Jan 1, 2014 Accepting new patients
Aap - Wpho LLC Past Accepting new patients
Neaai - Wpho LLC Allergy & Immunology Past Accepting new patients
Dartmouth-Hitchcock Clinic Allergy & Immunology Past Accepting new patients

Locations

79 Erdman Way
#101
Leominster, MA 01453
Phone (978) 537-4805

3 Woodland Rd
Ste 217
Stoneham, MA 02180
Phone (781) 395-2922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGCAA

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1306843941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY",
            "address_2": "SUITE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-537-4805",
            "fax_number": "978-537-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY",
            "address_2": "SUITE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-537-4805",
            "fax_number": "978-537-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESTER",
        "first_name": "DAVID",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "217636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110034333A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.