Active NPI
P. Thomas Riley, MD
- Family Medicine Physician
- Fredericksburg, VA
National Provider Identifier
1326098955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101028442
- Practice address
- 1301 College Ave
University of Mary Washington
Fredericksburg, VA 22401-5300 - Phone
- (540) 654-1040
- Fax
- (540) 654-1077
- NPI assigned
- May 12, 2006
- Last updated
- Nov 6, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101028442 | VA | Primary |
Addresses
Primary practice location
1301 College Ave
University of Mary Washington
Fredericksburg, VA 22401-5300
Mailing address
1301 College Ave
University of Mary Washington
Fredericksburg, VA 22401-5300
Phone (540) 654-1040
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540883363 | Other | VA | CHAMPUS-TRICARE |
| 540883363 | Other | VA | GREAT WEST HEALTHCARE |
| 856726 | Other | VA | MAMSI |
| 0100420 | Other | VA | UNTIED HEALTHCARE |
| 540883363 | Other | VA | PHCS |
| 5633826 | Medicaid | VA | |
| 82539 | Other | VA | SOUTHERN HEALTH |
| 540883363 | Other | VA | FIRST HEALTH/CCN |
| 540883363 | Other | VA | PREFERRED CARE |
| 10490 | Other | VA | CIGNA |
| 116049 | Other | VA | ANTHEM |
| 540883363 | Other | VA | VIRGINIA HEALTH NETWORK |
| 52955 | Other | VA | OPTIMA |
| 540189 | Other | VA | AETNA |
| 856726 | Other | VA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101028442 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1326098955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 COLLEGE AVE",
"address_2": "UNIVERSITY OF MARY WASHINGTON",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015300",
"telephone_number": "540-654-1040",
"fax_number": "540-654-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 COLLEGE AVE",
"address_2": "UNIVERSITY OF MARY WASHINGTON",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015300",
"telephone_number": "540-654-1040",
"fax_number": "540-654-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "P.",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101028442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-TRICARE",
"identifier": "540883363",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE",
"identifier": "540883363",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "856726",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNTIED HEALTHCARE",
"identifier": "0100420",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "540883363",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5633826",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "82539",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/CCN",
"identifier": "540883363",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "540883363",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10490",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "116049",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "540883363",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "52955",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "540189",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "856726",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.