Individual provider Active NPI

Jeremy Riekena, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1518464254
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T1188 Issued in TX
Practice address
6201 Harry Hines Blvd
Dallas, TX 75390-5045
Phone
(214) 648-3916
NPI assigned
Apr 10, 2018
Last updated
Jan 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X T1188 TX Primary

Addresses

Primary practice location

6201 Harry Hines Blvd
Dallas, TX 75390-5045

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75284-5347
Phone (214) 648-3916

Other practice location 1

5645 Main St
Flushing, NY 11355-5045
Phone (608) 669-2853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210525002330 TX Practitioner - Emergency Medicine 0648679696 Reassigns benefits to 2 organizations
I20220819000784 NY Practitioner - Emergency Medicine 0648679696 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

30 7TH Ave
New York, NY 10011-6608
Phone (212) 434-4137

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Sep 15, 2025 Accepting new patients
New York University CurrentSince May 1, 2023 Accepting new patients
Fordham Medical of New York LLC CurrentSince May 1, 2025 Accepting new patients
Pelham Pkwy Medical of New York LLC CurrentSince Oct 1, 2025 Accepting new patients
New York University Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2021 Accepting new patients
Mylaurel Medical Group Ny, PLLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
New York City Healthcare Medical Services LLC CurrentSince Jul 7, 2026 Accepting new patients
Vantage Medical Associates PC CurrentSince Mar 1, 2025 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince May 13, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince May 13, 2022 Accepting new patients
Bushwick Medical of New York LLC CurrentSince May 1, 2025 Accepting new patients
Foxhurst Medical of New York LLC CurrentSince May 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2021 Accepting new patients
Mylaurel Medical Group TX, PLLC CurrentSince Jul 1, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
VR Leddy, M.D., P.C. Past Accepting new patients
Priority Private Medical Care, PC Past Accepting new patients

Locations (25 of 30)

3033 Steinway St
Ste C
Astoria, NY 11103
Phone (347) 773-2684

160 4th St
Ste 1
Brentwood, NY 11717
Phone (631) 273-7105

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

2157 White Plains Rd
Ste B
Bronx, NY 10462

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

27 Graham Ave
Ste B
Brooklyn, NY 11206
Phone (646) 798-8506

441 Knickerbocker Ave
Brooklyn, NY 11237

441 Knickerbocker Ave
Ste B
Brooklyn, NY 11237
Phone (347) 773-2684

864 Pennsylvania Ave
Brooklyn, NY 11207

949 48th St
Brooklyn, NY 11219
Phone (702) 417-6255

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

11602 Queens Blvd
Ste C
Forest Hills, NY 11375
Phone (347) 535-5608

16203 Jamaica Ave
Ste 200C
Jamaica, NY 11432

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

300 Community Dr
Manhasset, NY 11030

122 Fulton St
Ste C
New York, NY 10038
Phone (718) 732-1071

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

155 Dyckman St
Ste C
New York, NY 10040
Phone (646) 798-3978

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

281 1st Ave
New York, NY 10003
Phone (212) 844-1808

30 7th Ave
New York, NY 10011
Phone (646) 665-6000

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jeremy.riekena.1@25843.direct.athenahealth.com
  • Direct secure messaging: jriekena72943@direct.phhs.org

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 1

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1518464254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-648-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753905045",
            "telephone_number": "214-648-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 Main St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555045",
            "country_code": "US",
            "telephone_number": "608-669-2853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEKENA",
        "first_name": "JEREMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T1188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.