Active NPI
Thomas J Reilly Jr., M.D.
- Orthopaedic Hand Surgery Physician
- Akron, OH
National Provider Identifier
1508950759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 35.047599
- Practice address
- 3925 Embassy Pkwy Ste 200
Akron, OH 44333-8400 - Phone
- (330) 668-4040
- Fax
- (330) 668-4077
- NPI assigned
- Oct 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35047599 | OH | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 35.047599 | OH | Primary |
Addresses
Primary practice location
3925 Embassy Pkwy Ste 200
Akron, OH 44333-8400
Mailing address
3925 Embassy Pkwy Ste 200
Akron, OH 44333-8400
Phone (330) 668-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200032669 | Other | OH | RAILROAD MEDICARE PIN |
| 0611716 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 83.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.047599 | OH | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Clinic Orthopaedic Center LLC | Orthopaedic Surgery | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1508950759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 EMBASSY PKWY STE 200",
"city": "AKRON",
"state": "OH",
"postal_code": "443338400",
"telephone_number": "330-668-4040",
"fax_number": "330-668-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 EMBASSY PKWY STE 200",
"city": "AKRON",
"state": "OH",
"postal_code": "443338400",
"telephone_number": "330-668-4040",
"fax_number": "330-668-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "THOMAS",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35047599",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "OH",
"license": "35.047599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "200032669",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0611716",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.