Individual provider Active NPI

Thomas M Riley, MD

  • Diagnostic Radiology Physician
  • Newburyport, MA
National Provider Identifier
1427080746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
079056 Issued in MA
Practice address
25 Highland Ave
Radiology Department
Newburyport, MA 01950-3867
Phone
(978) 463-1120
Fax
(978) 463-1171
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 079056 MA Primary

Addresses

Primary practice location

25 Highland Ave
Radiology Department
Newburyport, MA 01950-3867

Mailing address

8 Appleton LN
Boxford, MA 01921-1632
Phone (978) 463-1120

Other identifiers 2

IdentifierTypeStateIssuer
30008649MedicaidNH
3123065MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050901000720 MA Practitioner - Diagnostic Radiology 2668448291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Radiology Associates LLPGroup PAC ID 0749353951, 10 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
079056MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Radiology Associates, LLP Diagnostic Radiology CurrentSince Jun 28, 1994 Accepting new patients
Shields Imaging at Anna Jaques Hospital LLC CurrentSince Mar 1, 2017 Accepting new patients

Locations

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

Interoperability endpoints

  • Direct secure messaging: triley448896@direct.bilh.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427080746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 APPLETON LN",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211632",
            "telephone_number": "978-463-1120",
            "fax_number": "978-463-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "978-463-1120",
            "fax_number": "978-463-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "079056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008649",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123065",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.