Active NPI
Michael J Reilly, MD
- Emergency Medicine Physician
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 189470-1
- Practice address
- 600 McClellan St
Department of Emergency
Schenectady, NY 12304-1009 - Phone
- (518) 382-2222
- NPI assigned
- Jul 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 189470-1 | NY | Primary |
| Family Medicine Physician | 207Q00000X | 189470-1 | NY |
Addresses
Primary practice location
600 McClellan St
Department of Emergency
Schenectady, NY 12304-1009
Mailing address
1462 Erie Blvd
Attn: the Medical Group
Schenectady, NY 12305-1026
Phone (518) 243-1020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000912740003 | Other | NY | BSNENY |
| 3002305 | Other | MVP | |
| 01378692 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300
Hospital & facility affiliations
- Cobleskill Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 77.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.35
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189470-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Provident Emergency Medicine Associates, PC | Emergency Medicine | Past | Accepting new patients |
| Catholic Charities of Diocese of Albany | Past | Accepting new patients | |
| Dr. Timothy J. Maggs Chiropractic P.C. | Past | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300
140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000
115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
720 Hoosick Rd
Troy, NY 12180
Phone (518) 272-7191
130 North St
Walton, NY 13856
Phone (607) 865-6541
11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000
Interoperability endpoints
- mreilly29940@bassett.direct-ci.net
- mreilly19309@albanymed.direct-ci.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Urgent Care Clinic/Center
- West Coxsackie, NY
- NPI 1366872244
Emergency Medicine
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
-
- Critical Access Hospital
- Little Falls, NY
- NPI 1558321919
-
- Critical Access Hospital
- Delhi, NY
- NPI 1891728192
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- Voluntary or Charitable Agency
- Glens Falls, NY
- NPI 1245369495
-
- Chiropractor
- Schenectady, NY
- NPI 1891877551
-
- Emergency Medicine Physician
- Schenectady, NY
- NPI 1750310645
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1689741985
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1528097169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 ERIE BLVD",
"address_2": "ATTN: THE MEDICAL GROUP",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123051026",
"telephone_number": "518-243-1020",
"fax_number": "518-243-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MCCLELLAN ST",
"address_2": "DEPARTMENT OF EMERGENCY",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041009",
"telephone_number": "518-382-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "189470-1",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "189470-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000912740003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "3002305",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01378692",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.
- 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.