Active NPI
Reilly Talbot
- Physician Assistant
- Richmond, TX
National Provider Identifier
1689309981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15917
- Practice address
- 7051 FM 1464 Rd Ste a
Richmond, TX 77407-9542 - Phone
- (281) 766-3811
- NPI assigned
- Jul 20, 2022
- Last updated
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15917 | TX | Primary |
| Emergency Medicine Physician | 207P00000X | PA15917 | TX |
Addresses
Primary practice location
7051 FM 1464 Rd Ste a
Richmond, TX 77407-9542
Mailing address
6431 Fannin St
Houston, TX 77030-1501
Other practice location 1
5656 Kelley St # 1Ec1347
Houston, TX 77026
Phone (713) 566-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA15917 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15917 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Emergency Medicine | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
5656 Kelley St
#1
Houston, TX 77026
Phone (713) 500-7885
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1689309981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 FM 1464 RD STE A",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774079542",
"telephone_number": "281-766-3811"
}
],
"practiceLocations": [
{
"address_1": "5656 Kelley St # 1Ec1347",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77026",
"country_code": "US",
"telephone_number": "713-566-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALBOT",
"first_name": "REILLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15917",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "PA15917",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA15917",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.