Active NPI
W. Anthony Riley, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- D25205
- Practice address
- 6701 N Charles St
Ste 4105
Baltimore, MD 21204-6808 - Phone
- (443) 849-3184
- NPI assigned
- Jul 19, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | D25205 | MD | Primary |
| Pain Medicine Physician | 208VP0000X | D25205 | MD | |
| Internal Medicine Physician | 207R00000X | D25205 | MD |
Addresses
Primary practice location
6701 N Charles St
Ste 4105
Baltimore, MD 21204-6808
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315661300 | Medicaid | MD | |
| KJ15-34883001 | Other | MD | CAREFIRST MARYLAND |
| S1380016 | Other | MD | CAREFIRST REGIONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|
| D25205 | MD | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Internal Medicine | Current | Accepting new patients |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients |
Locations
6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760
6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
Interoperability endpoints
- ariley8213@gbmcdirect.org
Organizations & group practices 3
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.
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Internal Medicine
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323475200000",
"number": "1427077189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "STE 4105",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "W. ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2011-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MD",
"license": "D25205",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MD",
"license": "D25205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D25205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315661300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "KJ15-34883001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL",
"identifier": "S1380016",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; 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.