John Riley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009005 Issued in MI

Practice address

900 W University Dr Ste a-2
Rochester, MI 48307-1817

Phone

(248) 266-0920

Fax

(248) 266-0898

NPI assigned

Feb 5, 2019

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

University of Toledo College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kindmind Psychiatric HealthGroup PAC ID 3577099787, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kindmind Psychiatric Health

  • Psychiatry Physician
  • Clarkston, MI
  • NPI 1093409666
  Medicare reassignment Care Compare group
• Pine Rest Christian Mental Health Services

  • General Practice Physician
  • Grand Rapids, MI
  • NPI 1851309884
  Medicare reassignment
• Bassi Mental Health PA

  dba TelepsychHealth

  • Psychiatry Physician
  • Saint Johns, FL
  • NPI 1013425586

  IL

  Medicare reassignment
• Kindmind Behavioral Health

  dba Triad Associates

  • Mental Health Counselor
  • Clarkston, MI
  • NPI 1730897711
  NPD
• Pine Rest Christian Mental Health Services

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1386015683
  NPD

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1376008250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W UNIVERSITY DR STE A-2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071817",
            "telephone_number": "248-266-0920",
            "fax_number": "248-266-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W UNIVERSITY DR STE A-2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071817",
            "telephone_number": "248-266-0920",
            "fax_number": "248-266-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58656",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvedina Ribic, MSN, APRN, FNP-BC
• Michelle R Richards
• Deja Richardson
• Theresa Jeanette Richardson, PA-C
• Susan Lee Riggan
• Philip Riley
• Ulrich O Ringwald, MD
• Christie Marie Rivard
• Raja Hashim Rizwan, MD
• RMC Urgent Care

• Physician Assistant in Rochester, MI
• Providers in Rochester, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.