Active NPI
Joshua Rieke, M.D.
- Diagnostic Radiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 125-051981
- Practice address
- 3050 Montvale Dr Ste a
Springfield, IL 62704-6924 - Phone
- (217) 726-8096
- NPI assigned
- May 1, 2007
- Last updated
- Jun 29, 2021
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2012014547 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 125-051981 | IL | Primary |
Addresses
Primary practice location
3050 Montvale Dr Ste a
Springfield, IL 62704-6924
Mailing address
2040 W Iles Ave Ste C
Springfield, IL 62704-4183
Phone (217) 789-0668
Other practice location 1
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690
Other practice location 2
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036123103 | Medicaid | IL | |
| 209579408 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | riekej@clinicalradiologist.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO, TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200
105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 244-6800
60 E Monroe St
Unit 1601
Chicago, IL 60603-2747
Phone (423) 301-6567
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-051981 | IL | MD | Diagnostic Radiology Physician |
| 2012014547 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Blue Ridge Radiology, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Medical Center | Past | Accepting new patients | |
| Clinical Radiologists, S.C. | Diagnostic Radiology | Past | Accepting new patients |
| Lawrence County Memorial Hospital | Past | Accepting new patients | |
| Clinical Radiologists, S.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
2301 Holmes St
Kansas City, MO 64108
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
3053 W State St
Bristol, TN 37620
Phone (423) 301-6567
4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
Interoperability endpoints
- jriek@yourcarecommunity.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Health
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
dba Crawford Memorial Hospital
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
-
dba University Health Medical Imaging
- Body Imaging Physician
- Kansas City, MO
- NPI 1548439680
-
dba University Health Behavioral Health CCBHO Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
- NPI 1225773401
-
- Diagnostic Radiology Physician
- Edwardsville, IL
- NPI 1700219482
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1881643401
-
dba The Hearing Center at Memorial
- Audiologist
- Springfield, IL
- NPI 1679549968
-
- Diagnostic Radiology Physician
- Boulder, CO
- NPI 1992114714
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Franklin Woods Community Hospital
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
dba Bristol Regional Medical Center
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1528289055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 W ILES AVE STE C",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044183",
"telephone_number": "217-789-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MONTVALE DR STE A",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046924",
"telephone_number": "217-726-8096"
}
],
"practiceLocations": [
{
"address_1": "2301 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082640",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEKE",
"first_name": "JOSHUA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2012014547",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "125-051981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036123103",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209579408",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "riekej@clinicalradiologist.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3050 Montvale Dr Ste A",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627046924",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.