Individual provider Active NPI

Diane C Riley, MD

  • Orthopaedic Hand Surgery Physician
  • Lebanon, NH
National Provider Identifier
1568458123
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
042-0009796 Issued in VT
Practice address
17 Alice Peck Day Dr
Lebanon, NH 03766-2904
Phone
(603) 442-5990
Fax
(603) 442-5127
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 042-0009796 VT Primary

Addresses

Primary practice location

17 Alice Peck Day Dr
Lebanon, NH 03766-2904

Mailing address

10 Alice Peck Day Dr
Lebanon, NH 03766-2694
Phone (603) 448-3121

Other identifiers 1

IdentifierTypeStateIssuer
0RE4550MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140820001724 NH Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 9931260106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Peck Day Memorial Hospital Current Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jan 1, 2011 Accepting new patients

Locations

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

17 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 442-5630

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rileyd@apdmh.gwaydirect.com
  • Direct secure messaging: driley353917@direct.dartmouth-hitchcock.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1568458123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662694",
            "telephone_number": "603-448-3121",
            "fax_number": "603-448-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662904",
            "telephone_number": "603-442-5990",
            "fax_number": "603-442-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DIANE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VT",
            "license": "042-0009796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0RE4550",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.