Individual provider Active NPI

Michael David Riley

  • Internist Chiropractor
  • Overland Park, KS
National Provider Identifier
1700998721
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
01-4728 Issued in KS
Practice address
4400 College Blvd Ste 150
Overland Park, KS 66211-2326
Phone
(913) 667-2298
Fax
(913) 254-3064
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 01-4728 KS Primary

Addresses

Primary practice location

4400 College Blvd Ste 150
Overland Park, KS 66211-2326

Mailing address

10787 Nall Ave Ste 110
Overland Park, KS 66211-1375
Phone (913) 667-2298

Other practice location 1

609 Merchant St
Emporia, KS 66801-2858
Phone (620) 343-9900

Other practice location 2

10787 Nall Ave Ste 110
Overland Park, KS 66211-1375
Phone (913) 667-2298

Other identifiers 1

IdentifierTypeStateIssuer
062035OtherKSBCBS OF KS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
01-4728KSMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Get Back to Health Chiropractic LLC Past Accepting new patients
Emporia Surgical Hospital, LLC Past Accepting new patients
Emporia Pain Management Center, LLC PastSince Mar 26, 2011 Accepting new patients
Mathis Rehab Centers LLC Past Accepting new patients

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700998721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111375",
            "telephone_number": "913-667-2298",
            "fax_number": "913-254-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 COLLEGE BLVD STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662112326",
            "telephone_number": "913-667-2298",
            "fax_number": "913-254-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Merchant St",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012858",
            "country_code": "US",
            "telephone_number": "620-343-9900",
            "fax_number": "620-343-9904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10787 Nall Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111375",
            "country_code": "US",
            "telephone_number": "913-667-2298",
            "fax_number": "913-254-3064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "KS",
            "license": "01-4728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "062035",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.