Active NPI
Dillon Jay Reider
- Medical Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0007286
- Practice address
- 1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002 - Phone
- (505) 266-5565
- NPI assigned
- Jan 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2021-0071 | NM | |
| Medical Physician Assistant | 363AM0700X | PA.0007286 | CO | Primary |
Addresses
Primary practice location
1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Mailing address
1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone (505) 266-5565
Other practice location 1
1000 Lincoln St Ste 101
Fort Morgan, CO 80701-3290
Phone (970) 867-3391
Other practice location 2
4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2260 W Trilby Rd
Fort Collins, CO 80526-9650
Phone (970) 494-4200
242 Conifer St
Fort Collins, CO 80524-2043
Phone (970) 494-4200
501 S Cherry St
Suite 820
Denver, CO 80246-1325
Phone (702) 589-4871
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.04 of 100
- Quality
- 86.21
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2021-0071 | NM | MD | Physician Assistant |
| PA.0007286 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summitstone Health Partners | Current | Accepting new patients | |
| Colorado in-Home Counseling | Current | Accepting new patients | |
| Summitstone Health Partners | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients | |
| Premier Emergency Services, Inc | Current | Accepting new patients | |
| Usacs of Colorado Inc | Current | Accepting new patients | |
| Emergency Service Physicians, Inc. | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients | |
| Emergency Service Physicians, Inc. | Current | Accepting new patients | |
| Usacs of Colorado Inc | Current | Accepting new patients | |
| Summitstone Health Partners | Past | Accepting new patients | |
| Longview Behavioral Health | Past | Accepting new patients | |
| Longview Behavioral Health | Past | Accepting new patients | |
| Longview Behavioral Health | Past | Accepting new patients | |
| Longview Behavioral Health | Past | Accepting new patients |
Locations
501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682
4856 Innovation Dr
Ste B
Fort Collins, CO 80525
Phone (970) 397-7815
4102 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 494-5728
4856 Innovation Dr
Fort Collins, CO 80525
1000 Lincoln St
Ste 101
Fort Morgan, CO 80701
Phone (970) 542-4390
200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280
8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015
Organizations & group practices 20
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.
-
- Community/Behavioral Health Agency
- Denver, CO
- NPI 1093220006
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Collins, CO
- NPI 1821552738
-
- Emergency Medicine Physician
- Wheat Ridge, CO
- NPI 1326097668
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1134590318
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1457755688
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1760415871
-
- Emergency Medicine Physician
- Aurora, CO
- NPI 1548895048
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1962037440
-
- Adult Mental Health Clinic/Center
- Fort Collins, CO
- NPI 1154135861
-
- Community/Retail Pharmacy
- Fort Collins, CO
- NPI 1730935222
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1124668884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1396375531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N RENAISSANCE BLVD NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871077002",
"telephone_number": "505-266-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N RENAISSANCE BLVD NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871077002",
"telephone_number": "505-266-5565"
}
],
"practiceLocations": [
{
"address_1": "1000 Lincoln St Ste 101",
"address_purpose": "LOCATION",
"city": "Fort Morgan",
"state": "CO",
"postal_code": "807013290",
"country_code": "US",
"telephone_number": "970-867-3391",
"fax_number": "970-867-1868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4856 Innovation Dr",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805255539",
"country_code": "US",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIDER",
"first_name": "DILLON",
"middle_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-15",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2021-0071",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0007286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.