Individual provider Active NPI

John Florian Riedler, MD

  • Child & Adolescent Psychiatry Physician
  • Virginia Beach, VA
National Provider Identifier
1366414104
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
21876 Issued in IA
Practice address
500 Viking Dr
Suite 200
Virginia Beach, VA 23452-7477
Phone
(757) 468-0550
Fax
(757) 468-9992
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 15053 NE
Psychiatry Physician 2084P0800X 0101054894 VA
Child & Adolescent Psychiatry Physician 2084P0804X 21876 IA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 13743 AZ

Addresses

Primary practice location

500 Viking Dr
Suite 200
Virginia Beach, VA 23452-7477

Mailing address

500 Viking Dr
Suite 200
Virginia Beach, VA 23452-7477
Phone (757) 468-0550

Other identifiers 12

IdentifierTypeStateIssuer
260051194OtherMCARE RAILROAD
292381OtherBCBS
007117817MedicaidVA
16338OtherVALUE OPTIONS
243512OtherMANAGED HEALTH NETWORK
C01884OtherMCARE GROUP
089431OtherSENTARA OPTIMA
121837OtherMAGELLAN
362206OtherMAMSI
292381OtherANTHEM PPO
2005218OtherCIGNA
292381OtherANTHEM HEALTH KEEPERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101222000762 VA Practitioner - Psychiatry 8527256254 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15053NEMDAddiction Medicine (Psychiatry & Neurology) Physician
0101054894VAMDPsychiatry Physician
13743AZMDChild & Adolescent Psychiatry Physician
21876IAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Hospital Corporation of Virginia Beach CurrentSince Nov 12, 2020 Accepting new patients
Churchland Psychiatric Associates PC Psychiatry PastSince Jul 1, 1990 Accepting new patients
Atlantic Psychiatric Services Past Accepting new patients
Jewish Family Service of Tidewater, Incorporated Past Accepting new patients
Riverside Physician Services Inc Psychiatry Past Accepting new patients
Jewish Family Service of Tidewater, Incorporated PastSince May 1, 1993 Accepting new patients

Locations

1100 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 463-5240

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1366414104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VIKING DR",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527477",
            "telephone_number": "757-468-0550",
            "fax_number": "757-468-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VIKING DR",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527477",
            "telephone_number": "757-468-0550",
            "fax_number": "757-468-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDLER",
        "first_name": "JOHN",
        "middle_name": "FLORIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NE",
            "license": "15053",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101054894",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "21876",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "13743",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILROAD",
            "identifier": "260051194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "292381",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007117817",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "16338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "243512",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE GROUP",
            "identifier": "C01884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA",
            "identifier": "089431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "121837",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "362206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PPO",
            "identifier": "292381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2005218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH KEEPERS",
            "identifier": "292381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.