Individual provider Active NPI

Dustin L Riley, MD

  • Family Medicine Physician
  • Minden, NV
National Provider Identifier
1598027963
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15809 Issued in NV
Practice address
925 Ironwood Dr Ste 2111
Minden, NV 89423-5180
Phone
(775) 283-5050
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15809 NV Primary

Addresses

Primary practice location

925 Ironwood Dr Ste 2111
Minden, NV 89423-5180

Mailing address

1946 Old Hot Springs Rd
Carson City, NV 89706-0674
Phone (775) 882-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150805009432 NV Practitioner - Family Practice 3274766563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Medical Group Professional CorporationGroup PAC ID 4183520778, 49 clinicians

Practice addresses (Care Compare)

1200 Mountain St
Carson City, NV 89703-3821

1946 Old Hot Springs Rd
Carson City, NV 89706-0674
Phone (775) 882-1324

925 Ironwood Dr
Suite 2111
Minden, NV 89423-5180
Phone (775) 782-5330

Hospital & facility affiliations

  • Battle Born Home Health LLC Home health agency, Carson City, NV, CCN 297326
  • Eden Home Health Home health agency, Reno, NV, CCN 297035
  • Mission Home Health of Carson City Home health agency, Carson City, NV, CCN 297249
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions18
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15809NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Medical Group Professional Corporation Family Medicine CurrentSince Aug 3, 2015 Accepting new patients

Locations

1200 Mountain St
Carson City, NV 89703
Phone (775) 882-1324

1200 Mountain St
Ste 23
Carson City, NV 89703

1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050

925 Ironwood Dr
Ste 2111
Minden, NV 89423
Phone (775) 283-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJDAA
  • Direct secure messaging: dustin.riley@cmg1.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1598027963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 OLD HOT SPRINGS RD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060674",
            "telephone_number": "775-882-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 IRONWOOD DR STE 2111",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235180",
            "telephone_number": "775-283-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DUSTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "15809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.