Individual provider Active NPI

Benjamin Riegle, D.O.

  • Emergency Medicine Physician
  • Normal, IL
National Provider Identifier
1679889026
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036156956 Issued in IL
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

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
833230OtherMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007003541 IL Practitioner - Emergency Medicine 4284822636 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036156956ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Dec 2, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 6, 2021 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Aug 9, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 6, 2021 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Aug 9, 2022 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 CurrentSince May 24, 2023 Accepting new patients
Carle Health Care Incorporated PastSince Feb 18, 2024 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

  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.