Individual provider Active NPI

Raymond Z Riley, PA-C

  • Physician Assistant
  • Westminster, MD
National Provider Identifier
1659766541
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C05750 Issued in MD
Practice address
295 Stoner Ave Ste 102
Westminster, MD 21157-5662
Phone
(410) 848-1818
Fax
(410) 871-7964
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 C05750 MD Primary
Physician Assistant 363A00000X 0010-05662 NC

Addresses

Primary practice location

295 Stoner Ave Ste 102
Westminster, MD 21157-5662

Mailing address

2209C Defense Hwy
Apt. N
Crofton, MD 21114-2403
Phone (443) 332-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20161118001419 MD Practitioner - Physician Assistant 0345552568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Carroll Health Group, LLC CurrentSince Feb 1, 2024 Accepting new patients
Northwest Hospital Center, Inc Physician Assistant CurrentSince Jan 2, 2025 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Northwest Hospital Center, Inc. Past Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

201 Shorebird St
Ste B
Frederick, MD 21701
Phone (240) 422-8112

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

295 Stoner Ave
Ste 102
Westminster, MD 21157
Phone (410) 848-1818

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 8

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1659766541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209C DEFENSE HWY",
            "address_2": "APT. N",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142403",
            "telephone_number": "443-332-4260",
            "fax_number": "888-721-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 STONER AVE STE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575662",
            "telephone_number": "410-848-1818",
            "fax_number": "410-871-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "RAYMOND",
        "middle_name": "Z",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05750",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.