Individual provider Active NPI

John Keele Riles, P.A.

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1629116850
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA05122 Issued in TX
Practice address
18885 Katy Fwy
Houston, TX 77094-1103
Phone
(281) 829-2000
Fax
(883) 555-0528
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05122 TX
Surgical Physician Assistant 363AS0400X PA05122 TX Primary

Addresses

Primary practice location

18885 Katy Fwy
Houston, TX 77094-1103

Mailing address

PO Box 207
Houston, TX 77001-0207
Phone (281) 829-2000

Other practice location 1

2600 North Loop W Ste 100
Houston, TX 77092-8915
Phone (281) 829-2000

Other identifiers 1

IdentifierTypeStateIssuer
188157501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070621000437 TX Practitioner - Physician Assistant 4385743038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates LLPGroup PAC ID 0941285928, 14 clinicians

Practice addresses (Care Compare)

215 Kingwood Executive Dr
Suite 100
Kingwood, TX 77339-2764
Phone (281) 358-4145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.38 of 100Reported as group
Quality
73.06
Promoting interoperability
92
Improvement activities
40
Cost
64.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05122TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: john.riles.1@25152.direct.athenahealth.com
  • Direct secure messaging: john.riles.1@13131.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1629116850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770010207",
            "telephone_number": "281-829-2000",
            "fax_number": "888-355-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18885 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941103",
            "telephone_number": "281-829-2000",
            "fax_number": "883-555-0528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 North Loop W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770928915",
            "country_code": "US",
            "telephone_number": "281-829-2000",
            "fax_number": "888-355-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILES",
        "first_name": "JOHN",
        "middle_name": "KEELE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05122",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA05122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188157501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.