Active NPI
Michael D Reilly, DNP, ARNP, NP-C
- Family Nurse Practitioner
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3185122
- Practice address
- 2500 Citrus Blvd
Leesburg, FL 34748-3063 - Phone
- (352) 347-5225
- Fax
- (352) 347-1073
- NPI assigned
- Dec 26, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3185122 | FL | |
| Family Nurse Practitioner | 363LF0000X | 3185122 | FL | Primary |
Addresses
Primary practice location
2500 Citrus Blvd
Leesburg, FL 34748-3063
Mailing address
10762 SE US Highway 441
Belleview, FL 34420-3805
Phone (352) 347-5225
Other practice location 1
10762 SE US Highway 441
Belleview, FL 34420-3805
Phone (352) 347-5225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000144500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3185122 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Emergency Physician Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Express Care of Belleview, LLC | Current | Accepting new patients | |
| Fakhoury Medical & Chiropractic Center PLLC | Current | Accepting new patients | |
| Express Care of Belleview, LLC | Current | Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Institute of Cardiovascular Medicine LLC | Past | Accepting new patients | |
| Institute of Cardiovascular Excellence PLLC | Past | Accepting new patients | |
| Ocala Physician Associates PA | Past | Accepting new patients |
Locations
10762 SE US Highway 441
Belleview, FL 34420
Phone (352) 346-5225
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
2500 Citrus Blvd
Leesburg, FL 34748
Phone (352) 315-3804
1009 SW 17th St
Ocala, FL 34471
Phone (352) 351-3413
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61486
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Belleview, FL
- NPI 1952357519
-
- Chiropractor
- Ocala, FL
- NPI 1144458480
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
Nurse Practitioner
-
- General Practice Physician
- Leesburg, FL
- NPI 1831142389
-
- Emergency Medicine Physician
- Bushnell, FL
- NPI 1326619727
Nurse Practitioner
-
- Cardiovascular Disease Physician
- Ocala, FL
- NPI 1295975803
-
- Cardiovascular Disease Physician
- Summerfield, FL
- NPI 1952325490
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1316415201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1528045168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10762 SE US HIGHWAY 441",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "344203805",
"telephone_number": "352-347-5225",
"fax_number": "352-347-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 CITRUS BLVD",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347483063",
"telephone_number": "352-347-5225",
"fax_number": "352-347-1073"
}
],
"practiceLocations": [
{
"address_1": "10762 SE US Highway 441",
"address_purpose": "LOCATION",
"city": "Belleview",
"state": "FL",
"postal_code": "344203805",
"country_code": "US",
"telephone_number": "352-347-5225",
"fax_number": "352-347-1073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILLY",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DNP, ARNP, NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-26",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "3185122",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "3185122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000144500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.