Individual provider Active NPI

Austin Thomas Reilly, MD

  • Pain Medicine (Anesthesiology) Physician
  • Elkhorn, NE
National Provider Identifier
1508358987
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35710 Issued in NE
Practice address
222 N 192ND St
Elkhorn, NE 68022-5363
Phone
(402) 390-4111
Fax
(402) 390-4115
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35710 NE Primary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 125073571 IL

Addresses

Primary practice location

222 N 192ND St
Elkhorn, NE 68022-5363

Mailing address

8005 Farnam Dr Ste 305
Omaha, NE 68114-3426
Phone (402) 390-4111

Other practice location 1

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-4440

Other practice location 2

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-6842

Other practice location 3

7350 Willowbrook Ln
Lincoln, NE 68516-7781
Phone (402) 488-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NE, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230112002335 IL Practitioner - AnesthesiologyPractitioner - Pain Management 0749515955 Reassigns benefits to 1 organization
I20230707000608 NE Practitioner - Pain ManagementPractitioner - Anesthesiology 0749515955 Reassigns benefits to 2 organizations
I20260518000779 IA Practitioner - AnesthesiologyPractitioner - Pain Management 0749515955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD West One PCGroup PAC ID 0446228852, 89 clinicians

Practice addresses (Care Compare)

3901 W Norfolk Ave
Suite S
Norfolk, NE 68701-9227
Phone (402) 361-5260

Hospital & facility affiliations

  • Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363
  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
  • Memorial Health Care Systems Hospital, Seward, NE, CCN 281339
  • Midwest Surgical Hospital LLC Hospital, Omaha, NE, CCN 280131
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125073571ILMDAnesthesiology Physician
35710NEMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD West One, PC CurrentSince Sep 4, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Dec 1, 2022 Accepting new patients
MD West One, PC Anesthesiology CurrentSince Sep 4, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Whitten Chiropractic Offices PC PastSince Dec 28, 2025 Accepting new patients
Npi Surgery Center LLC PastSince Aug 1, 2023 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

222 N 192nd St
Elkhorn, NE 68022

3301 E Elkhorn Dr
Ste 100
Fremont, NE 68025
Phone (402) 721-0090

3901 W Norfolk Ave
Ste S
Norfolk, NE 68701
Phone (402) 361-5260

8005 Farnam Dr
Ste 305
Omaha, NE 68114

Organizations & group practices 9

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 6

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1508358987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 FARNAM DR STE 305",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143426",
            "telephone_number": "402-390-4111",
            "fax_number": "402-390-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 192ND ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225363",
            "telephone_number": "402-390-4111",
            "fax_number": "402-390-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134409",
            "country_code": "US",
            "telephone_number": "602-406-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-6842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7350 Willowbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685167781",
            "country_code": "US",
            "telephone_number": "402-488-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "AUSTIN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NE",
            "license": "35710",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125073571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.