NPIMap

Individual provider Active NPI

David Patrick Reilly, M.D.

  • Internal Medicine Physician
  • Asheville, NC
National Provider Identifier
1538546361
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2018-01170 Issued in NC
Practice address
4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803
Phone
(828) 258-0397
NPI assigned
Apr 30, 2015
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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
Internal Medicine Physician 207R00000X 2018-01170 NC Primary

Addresses

Primary practice location

4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803

Mailing address

4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476
Phone (828) 258-0397

Other practice location 1

Carl A. Jones Hall, VA Building 1
Dogwood Avenue
Mountain Home, TN 37684
Phone (423) 439-6283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817001471 NC Practitioner - Internal Medicine 5496004871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

275 McDowell St
Asheville, NC 28803-2606
Phone (828) 258-0397

55 Piney Mountain Dr
Asheville, NC 28805-1297
Phone (828) 252-1915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-01170NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Internal Medicine Associates, PA Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients

Locations

275 McDowell St
Asheville, NC 28803
Phone (828) 255-5870

4 Vanderbilt Park Dr
Ste 100
Asheville, NC 28803
Phone (828) 258-0397

Interoperability endpoints

  • Direct secure messaging: david.reilly.1@31813.direct.athenahealth.com
  • Direct secure messaging: davidreilly@cim.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1538546361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DR STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032476",
            "telephone_number": "828-258-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DR STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-258-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carl A. Jones Hall, VA Building 1",
            "address_2": "Dogwood Avenue",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "TN",
            "postal_code": "37684",
            "country_code": "US",
            "telephone_number": "423-439-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "DAVID",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-01170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.