NPIMap

Individual provider Active NPI

Jonathan Riley, M.D.

  • Neurological Surgery Physician
  • Orchard Park, NY
National Provider Identifier
1346483039
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD456949 Issued in PA
Practice address
5959 Big Tree Rd Ste 103
Orchard Park, NY 14127-2291
Phone
(716) 218-1000
NPI assigned
Apr 11, 2009
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurological Surgery Physician 207T00000X MD456949 PA Primary

Addresses

Primary practice location

5959 Big Tree Rd Ste 103
Orchard Park, NY 14127-2291

Mailing address

PO Box 8000 Dept 883
Buffalo, NY 14267-0001

Other practice location 1

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 727-5658

Other practice location 2

3980 Sheridan Dr # A
Amherst, NY 14226-1727
Phone (716) 218-1000

Other practice location 3

40 George Karl Blvd
Amherst, NY 14221-7183
Phone (716) 218-1000

Other practice location 4

1001 Main St Fl 4
Buffalo, NY 14203-1009
Phone (716) 218-1000

Other identifiers 1

IdentifierTypeStateIssuer
04879530MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010002430 NY Practitioner - Neurosurgery 4183903156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Neurosurgery IncGroup PAC ID 0143124719, 70 clinicians

Practice addresses (Care Compare)

5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 218-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
87.1
Promoting interoperability
95
Improvement activities
40
Cost
86.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion47
Upper limb (arm) arthroscopy (minimally invasive joint repair)11
Laminectomy or laminotomy (partial removal of spine bones)20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456949PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Aug 1, 2017 Accepting new patients
University at Buffalo Neurosurgery, Inc. Neurological Surgery CurrentSince Aug 1, 2017 Accepting new patients
Kaleida Health Past Accepting new patients
University Neurology, Inc. Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

737 Main St
Ste 300
Buffalo, NY 14203

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

5959 Big Tree Rd
Ste 103
Orchard Park, NY 14127

40 George Karl Blvd
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: jriley@ubns.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1346483039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000 DEPT 883",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 BIG TREE RD STE 103",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272291",
            "telephone_number": "716-218-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221059",
            "country_code": "US",
            "telephone_number": "404-727-5658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3980 Sheridan Dr # A",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261727",
            "country_code": "US",
            "telephone_number": "716-218-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 George Karl Blvd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142217183",
            "country_code": "US",
            "telephone_number": "716-218-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Main St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031009",
            "country_code": "US",
            "telephone_number": "716-218-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-11",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD456949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04879530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.