Individual provider Active NPI

Patrick L Riley, MD

  • Family Medicine Physician
  • Duquoin, IL
National Provider Identifier
1730133505
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036115579 Issued in IL
Practice address
119 Gas Plant Road
Rea Clinic Duquoin
Duquoin, IL 62832
Phone
(618) 542-8702
Fax
(618) 542-8792
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036115579 IL Primary
Obstetrics & Gynecology Physician 207V00000X 036115579 IL

Addresses

Primary practice location

119 Gas Plant Road
Rea Clinic Duquoin
Duquoin, IL 62832

Mailing address

PO Box 155
Christopher Rural Health Planning Corporation
Christopher, IL 62822
Phone (618) 724-2401

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
I20060607000018 IL Practitioner - Family PracticePractitioner - General PracticePractitioner - Obstetrics/Gynecology 8325059413 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Saint Louis University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians
Trinity Medical Staffing LLCGroup PAC ID 1759712698, 35 clinicians
Franklin Hospital DistrictGroup PAC ID 4082516042, 32 clinicians
Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians

Practice addresses (Care Compare)

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-7671

201 Bailey LN
Benton, IL 62812-1969
Phone 6184393161332

8 Doctors Pkwy
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

Hospital & facility affiliations

  • Deaconess Illinois Crossroads Hospital, Mount Vernon, IL, CCN 140294
  • Franklin Hospital Hospital, Benton, IL, CCN 141321
  • Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210
  • Marshall Browning Hospital Hospital, Du Quoin, IL, CCN 141331
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Franklin Hospital Nursing home, CCN 14Z321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Granite City Hospitalist Services LLC CurrentSince Mar 30, 2019 Accepting new patients
Integritas Emergency Physician Services, LLC CurrentSince Mar 29, 2024 Accepting new patients
Franklin Hospital District Current Accepting new patients
Morrison Community Hospital District Current Accepting new patients
Morrison Community Hospital District Family Medicine CurrentSince Aug 5, 2023 Accepting new patients
Trinity Medical Staffing LLC CurrentSince Jul 1, 2020 Accepting new patients
Morrison Community Hospital District Family Medicine CurrentSince Aug 5, 2023 Accepting new patients
Statera Health Care, LLC CurrentSince Jul 1, 2020 Accepting new patients
David F Szoke MD, PastSince Jan 2, 2015 Accepting new patients
Eye Microsurgery, LTD. PastSince Mar 29, 2024 Accepting new patients

Locations

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

3333 W Deyoung St
Ste 205
Marion, IL 62959
Phone (618) 998-1161

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

309 W Saint Louis St
Ste C
West Frankfort, IL 62896
Phone (618) 435-5444

Interoperability endpoints

  • Direct secure messaging: priley@yourcarecommunity.org
  • Direct secure messaging: patrick.riley.1@15486.direct.athenahealth.com
  • Direct secure messaging: priley520998@direct-ehr-ssmhc.com

Organizations & group practices 12

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 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1730133505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "address_2": "CHRISTOPHER RURAL HEALTH PLANNING CORPORATION",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "62822",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GAS PLANT ROAD",
            "address_2": "REA CLINIC DUQUOIN",
            "city": "DUQUOIN",
            "state": "IL",
            "postal_code": "62832",
            "telephone_number": "618-542-8702",
            "fax_number": "618-542-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "PATRICK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036115579",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036115579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duquoin, IL

Sources for this page

Verify at the official NPI Registry.