Active NPI
William G. Reilly, M.D.
- Orthopaedic Surgery Physician
- Odessa, TX
National Provider Identifier
1447260963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- J2755
- Practice address
- 1340 E 7TH St
Odessa, TX 79761-4724 - Phone
- (432) 332-2663
- Fax
- (432) 337-0910
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | J2755 | TX | Primary |
Addresses
Primary practice location
1340 E 7TH St
Odessa, TX 79761-4724
Mailing address
1340 E 7TH St
Odessa, TX 79760
Phone (432) 332-2663
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181001200 | Other | TX | DEPT OF LABOR |
| 110400202 | Medicaid | TX | |
| 5630582 | Other | TX | AETNA |
| 1222324100 | Other | TX | SOUTHWEST LIFE HEALTH |
| 83550G | Other | TX | BCBS |
| 00026732 | Medicaid | NM | |
| MDJ2755 | Other | TX | WORKMEN COMPENSATION |
| 200033319 | Other | TX | RAILROAD MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Texas Two Medical Group, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1659950475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1447260963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 E 7TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "79760",
"telephone_number": "432-332-2663",
"fax_number": "432-337-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 E 7TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614724",
"telephone_number": "432-332-2663",
"fax_number": "432-337-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "WILLIAM",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "J2755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "181001200",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110400202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5630582",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHWEST LIFE HEALTH",
"identifier": "1222324100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83550G",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00026732",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMEN COMPENSATION",
"identifier": "MDJ2755",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "200033319",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.