Active NPI
Benjamin Riegle, D.O.
- Emergency Medicine Physician
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036156956
- Practice address
- 1304 Franklin Ave Ste 380
Normal, IL 61761-3558 - Phone
- (309) 268-5130
- Fax
- (309) 268-5784
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036156956 | IL | Primary |
Addresses
Primary practice location
1304 Franklin Ave Ste 380
Normal, IL 61761-3558
Mailing address
611 W. Park St
Fapc
Urbana, IL 61801
Other practice location 1
201 State St
Erie, PA 16550
Phone (815) 844-4062
Other practice location 2
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 833230 | Other | MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036156956 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Emergency Medicine | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311
1505 Eastland Dr
Ste 1100
Bloomington, IL 61701
Phone (309) 663-2100
1701 E College Ave
Bloomington, IL 61704
Phone (309) 664-3000
106 S 1st St
Fairbury, IL 61739
Phone (815) 635-3177
801 Fox Run
Heyworth, IL 61745
Phone (309) 473-2069
1304 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3598
800 E Locust St
Olney, IL 62450
Phone (618) 395-2131
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- briegledo353662@carlehiedirect.net
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Emergency Medicine
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
-
- Emergency Medicine Physician
- Bloomington, IL
- NPI 1497435242
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1154908929
-
- Rural Health Clinic/Center
- Olney, IL
- NPI 1326566290
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1679889026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 FRANKLIN AVE STE 380",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613558",
"telephone_number": "309-268-5130",
"fax_number": "309-268-5784"
}
],
"practiceLocations": [
{
"address_1": "201 State St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "16550",
"country_code": "US",
"telephone_number": "815-844-4062",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 E Washington St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617014364",
"country_code": "US",
"telephone_number": "309-662-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEGLE",
"first_name": "BENJAMIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-24",
"last_updated": "2024-02-15",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036156956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "833230",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.