Individual provider Active NPI

John J Riddle, MD

  • Emergency Medicine Physician
  • New Albany, IN
National Provider Identifier
1366482648
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01079736A Issued in IN
Practice address
700 E Spring St Ste 200
New Albany, IN 47150
Phone
(812) 945-7536
Fax
(812) 945-7542
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01079736A IN Primary
Emergency Medicine Physician 207P00000X R0916 KY

Addresses

Primary practice location

700 E Spring St Ste 200
New Albany, IN 47150

Mailing address

700 E Spring St Ste 200
New Albany, IN 47150-2926
Phone (812) 945-7536

Other practice location 1

172 N Peterson Ave
Louisville, KY 40206-2374
Phone (502) 762-7618

Other practice location 2

172 N Peterson Ave
Louisville, KY 40206-2374
Phone (502) 762-7618

Other identifiers 1

IdentifierTypeStateIssuer
R0916OtherKYRESIDENCE LICENSE

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
I20180719003237 IN Practitioner - Emergency Medicine 9830291103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01079736AINMDEmergency Medicine Physician
R0916KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Emergency Medicine Associates PC Emergency Medicine CurrentSince Jun 22, 2018 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients

Locations

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

700 E Spring St
Ste 200
New Albany, IN 47150
Phone (812) 945-7536

Organizations & group practices 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366482648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SPRING ST STE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502926",
            "telephone_number": "812-945-7536",
            "fax_number": "812-945-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SPRING ST STE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-945-7536",
            "fax_number": "812-945-7542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 N Peterson Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402062374",
            "country_code": "US",
            "telephone_number": "502-762-7618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 N Peterson Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402062374",
            "country_code": "US",
            "telephone_number": "502-762-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01079736A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "R0916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENCE LICENSE",
            "identifier": "R0916",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.