Active NPI
Jillian Ross Riley, DO
- Family Medicine Physician
- Muskogee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4553
- Practice address
- 1011 Honor Heights Dr
Muskogee, OK 74401-1318 - Phone
- (918) 577-4050
- NPI assigned
- Jan 10, 2008
- Last updated
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36052 | OK | |
| Family Medicine Physician | 207Q00000X | 4553 | OK | Primary |
Addresses
Primary practice location
1011 Honor Heights Dr
Muskogee, OK 74401-1318
Mailing address
29719 E 770 Rd
Wagoner, OK 74467-1015
Phone (918) 406-2567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200129340A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 N Garfield Ave
Suite 300
Sand Springs, OK 74063-7289
Phone (918) 246-3456
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36052 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald First Choice Hospice LLC | Family Medicine | Current | Accepting new patients |
| Sand Springs Medical Associates | Family Medicine | Current | Accepting new patients |
Locations
110 N Garfield Ave
Ste 300
Sand Springs, OK 74063
Phone (918) 246-3456
1002 S McQuarrie Ave
Ste B
Wagoner, OK 74467
Phone (918) 485-0079
120 S Yorkshire Blvd
Wagoner, OK 74467
Phone (918) 485-0079
Interoperability endpoints
- jillian.riley@929089266843652.direct.elationemr.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Sand Springs, OK
- NPI 1497922496
-
dba Emerald Hospice II
- Community Based Hospice Care Agency
- Wagoner, OK
- NPI 1386958312
Family Medicine
-
- Primary Care Clinic/Center
- Wagoner, OK
- NPI 1376780031
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Claremore, OK
- NPI 1477563559
-
dba Enhabit Home Health of Eastern Oklahoma
- Home Health Agency
- Muskogee, OK
- NPI 1306826698
-
dba Emerald Hospice II
- Community Based Hospice Care Agency
- Wagoner, OK
- NPI 1386958312
-
dba Angels Care Home Health of East Oklahoma
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1619153574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29719 E 770 RD",
"city": "WAGONER",
"state": "OK",
"postal_code": "744671015",
"telephone_number": "918-406-2567",
"fax_number": "918-485-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 HONOR HEIGHTS DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744011318",
"telephone_number": "918-577-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JILLIAN",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "36052",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200129340A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.