Individual provider Active NPI

Riley McCoy

  • Physician Assistant
  • Sahuarita, AZ
National Provider Identifier
1699409920
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
16260 S Rancho Sahuarita Blvd Ste 200
Sahuarita, AZ 85629-0740
Phone
(520) 575-1175
Fax
(520) 575-1183
NPI assigned
Jul 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

16260 S Rancho Sahuarita Blvd Ste 200
Sahuarita, AZ 85629-0740

Mailing address

16260 S Rancho Sahuarita Blvd Ste 200
Sahuarita, AZ 85629-0740
Phone (520) 575-1175

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address riley.mccoy.1@1576.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240820001867 AZ Practitioner - Physician Assistant 8527506658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629-0047

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10493AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

16260 S Rancho Sahuarita Blvd
Ste 200
Sahuarita, AZ 85629
Phone (520) 352-1072

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1699409920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 S RANCHO SAHUARITA BLVD STE 200",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856290740",
            "telephone_number": "520-575-1175",
            "fax_number": "520-575-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 S RANCHO SAHUARITA BLVD STE 200",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856290740",
            "telephone_number": "520-575-1175",
            "fax_number": "520-575-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "riley.mccoy.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16260 S Rancho Sahuarita Blvd Ste 200",
            "city": "Sahuarita",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856290740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.