Christopher Mark Reilly, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

57879 Issued in MN

Practice address

750 E 34TH St
Hibbing, MN 55746-2341

Phone

(218) 262-4881

Fax

(218) 362-6699

NPI assigned

Dec 8, 2009

Sex

Male

Sole proprietor

No

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.

• Radiologists Associated in Duluth LTD

  • Diagnostic Radiology Physician
  • Hibbing, MN
  • NPI 1598722688

  Body Imaging, MN, WI

  Medicare reassignment Care Compare group NPD Authorized official
• Grand Itasca Clinic and Hospital

  • General Acute Care Hospital
  • Grand Rapids, MN
  • NPI 1669426631

  MN

  Medicare reassignment Care Compare group NPD
• Lifecare Medical Center

  • Critical Access Hospital
  • Roseau, MN
  • NPI 1609861095

  MN

  Medicare reassignment Care Compare group NPD
• Range Regional Health Services

  • Clinic/Center
  • Hibbing, MN
  • NPI 1669569265

  MN

  Medicare reassignment Care Compare group NPD
• St. Luke'S Hospital of Duluth

  • Rehabilitation Hospital Unit
  • Duluth, MN
  • NPI 1902845068

  MN

  Medicare reassignment Care Compare group NPD
• Community Memorial Hospital Association

  • Critical Access Hospital
  • Cloquet, MN
  • NPI 1003869082

  MN

  Medicare reassignment NPD
• International Falls Memorial Hospital Association

  • Critical Access Hospital
  • International Falls, MN
  • NPI 1528041183

  MN

  Medicare reassignment NPD
• Lifecare Medical Center

  • Rural Health Clinic/Center
  • Warroad, MN
  • NPI 1619724077
  Care Compare group NPD
• St. Luke'S Hospital of Duluth

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1801835970
  Care Compare group NPD
• Grand Itasca Clinic and Hospital

  • Home Health Agency
  • Grand Rapids, MN
  • NPI 1558435131
  Care Compare group
• Lifecare Medical Center

  • Home Health Agency
  • Roseau, MN
  • NPI 1003802505
  Care Compare group
• Lifecare Medical Center

  • Rural Health Clinic/Center
  • Roseau, MN
  • NPI 1225885676
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grand Itasca Clinic and Hospital

  • General Acute Care Hospital
  • Grand Rapids, MN
  • NPI 1669426631

  Hospital

  Care Compare affiliation Name & address match
• Cook Hospital

  • Critical Access Hospital
  • Cook, MN
  • NPI 1992763858

  Hospital

  Care Compare affiliation
• Lifecare Medical Center

  • Critical Access Hospital
  • Roseau, MN
  • NPI 1609861095

  Hospital

  Care Compare affiliation
• Northern Itasca Hospital District

  • Critical Access Hospital
  • Bigfork, MN
  • NPI 1851335525

  Hospital

  Care Compare affiliation
• Range Regional Health Services

  • General Acute Care Hospital
  • Hibbing, MN
  • NPI 1356321699

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

University of Chicago, Pritzker School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiologists Associated in Duluth LTD 45 clinicians

Grand Itasca Clinic and Hospital 328 clinicians

Lifecare Medical Center 55 clinicians

Range Regional Health Services 349 clinicians

St. Luke'S Hospital of Duluth 409 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Itasca Clinic and Hospital Hospital, Grand Rapids, MN, CCN 240064
• Range Regional Health Services Hospital, Hibbing, MN, CCN 240040
• Lifecare Medical Center Hospital, Roseau, MN, CCN 241344
• Cook Hospital Hospital, Cook, MN, CCN 241312
• Bigfork Valley Hospital Hospital, Bigfork, MN, CCN 241316

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: creilly319532@fairview.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2021.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1659600435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W CENTRAL ENTRANCE # 160",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113433",
            "telephone_number": "218-722-3700",
            "fax_number": "218-722-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E 34TH ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462341",
            "telephone_number": "218-262-4881",
            "fax_number": "218-362-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MN",
            "license": "57879",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "MN",
            "license": "57879",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "57879",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MN",
            "license": "57879",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "57879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN STATE",
            "identifier": "57879",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Range Regional Health Services
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• Kailey Annamae Reddick, LAT, ATC
• Teresa Reder
• Regents of the University of Minnesota
• Renew Health Services, LLC
• Ashley Noelle Rengstorf, MSW, LICSW
• Restorative Synergy Counseling LLC
• Restoring Waters Counseling LLC
• Kerry Ann Reuter, DNP, APRN, PMHNP-BC

• All providers in Hibbing, MN
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.