Active NPI
John Florian Riedler, MD
- Child & Adolescent Psychiatry Physician
- Virginia Beach, VA
National Provider Identifier
1366414104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 21876
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260051194 | Other | MCARE RAILROAD | |
| 292381 | Other | BCBS | |
| 007117817 | Medicaid | VA | |
| 16338 | Other | VALUE OPTIONS | |
| 243512 | Other | MANAGED HEALTH NETWORK | |
| C01884 | Other | MCARE GROUP | |
| 089431 | Other | SENTARA OPTIMA | |
| 121837 | Other | MAGELLAN | |
| 362206 | Other | MAMSI | |
| 292381 | Other | ANTHEM PPO | |
| 2005218 | Other | CIGNA | |
| 292381 | Other | ANTHEM 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15053 | NE | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
| 0101054894 | VA | MD | Psychiatry Physician |
| 13743 | AZ | MD | Child & Adolescent Psychiatry Physician |
| 21876 | IA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Hospital Corporation of Virginia Beach | Current | Accepting new patients | |
| Churchland Psychiatric Associates PC | Psychiatry | Past | 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 | Past | 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.
-
- Psychiatric Hospital
- Virginia Beach, VA
- NPI 1326071093
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1063514925
-
- Psychiatry Physician
- Chesapeake, VA
- NPI 1740359223
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1124088638
-
- Home Health Agency
- Virginia Beach, VA
- NPI 1790791176
-
- Psychiatry Physician
- Portsmouth, VA
- NPI 1821421454
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.