Individual provider Active NPI

Daryle Shawn Riegle, MD

  • Anesthesiology Physician
  • Newburgh, IN
National Provider Identifier
1306888672
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01042564A Issued in IN
Practice address
4199 Gateway Blvd
The Womens Hospital
Newburgh, IN 47630
Phone
(812) 842-4200
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01042564A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd
The Womens Hospital
Newburgh, IN 47630

Mailing address

PO Box 637275
Cincinnati, OH 45263-0001
Phone (812) 473-0181

Other identifiers 3

IdentifierTypeStateIssuer
200094240MedicaidIN
64880644MedicaidKY
000000299895OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhs@direct.deaconess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100310000738 IN Practitioner - Anesthesiology 1456496769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Womens Hospital of Southern Indiana LLCGroup PAC ID 4183699432, 50 clinicians

Practice addresses (Care Compare)

4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200

Hospital & facility affiliations

  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Women'S Hospital of Southern Indiana, LLC CurrentSince Nov 1, 2003 Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Anesthesiology CurrentSince Nov 1, 2003 Accepting new patients

Locations

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

Organizations & group practices 2

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 1

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1306888672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637275",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "THE WOMENS HOSPITAL",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "47630",
            "telephone_number": "812-842-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGLE",
        "first_name": "DARYLE",
        "middle_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01042564A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094240",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64880644",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000299895",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "address_1": "4199 Gateway Blvd",
            "address_2": "The Womens Hospital",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.