Individual provider Active NPI

Ryley Spencer Camacho Escobar

  • Physician Assistant
  • Glen Allen, VA
National Provider Identifier
1548158264
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4101 Cox Rd Ste 300
Glen Allen, VA 23060-3320
Phone
(804) 210-3100
Fax
(804) 210-3105
NPI assigned
Jun 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4101 Cox Rd Ste 300
Glen Allen, VA 23060-3320

Mailing address

4101 Cox Rd Ste 300
Glen Allen, VA 23060-3320
Phone (804) 210-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008002979 VA Practitioner - Physician Assistant 1557868247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13321 Riva CT
Ashland, VA 23005-7267

4535 Dressler Rd NW
Canton, OH 44718-2545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. Current Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Oct 14, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2025 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Oct 14, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2025 Accepting new patients
Capitol Breathe Free Sinus & Allergy Centers PastSince Sep 30, 2020 Accepting new patients

Locations

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

Organizations & group practices 6

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.

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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1548158264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 COX RD STE 300",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603320",
            "telephone_number": "804-210-3100",
            "fax_number": "804-210-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 COX RD STE 300",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603320",
            "telephone_number": "804-210-3100",
            "fax_number": "804-210-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "RYLEY SPENCER",
        "middle_name": "CAMACHO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.