Active NPI
Patrick L Riley, MD
- Family Medicine Physician
- Duquoin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036115579
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Franklin Hospital
- Harrisburg Medical Center
- Marshall Browning Hospital
- Good Samaritan Regional HLTH Center
- Franklin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite City Hospitalist Services LLC | Current | Accepting new patients | |
| Integritas Emergency Physician Services, LLC | Current | Accepting new patients | |
| Franklin Hospital District | Current | Accepting new patients | |
| Morrison Community Hospital District | Current | Accepting new patients | |
| Morrison Community Hospital District | Family Medicine | Current | Accepting new patients |
| Trinity Medical Staffing LLC | Current | Accepting new patients | |
| Morrison Community Hospital District | Family Medicine | Current | Accepting new patients |
| Statera Health Care, LLC | Current | Accepting new patients | |
| David F Szoke MD, | Past | Accepting new patients | |
| Eye Microsurgery, LTD. | Past | 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
- priley@yourcarecommunity.org
- patrick.riley.1@15486.direct.athenahealth.com
- 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.
-
- Critical Access Hospital
- Benton, IL
- NPI 1699778951
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
-
- Emergency Medicine Physician
- Harrisburg, IL
- NPI 1043874449
-
- Internal Medicine Physician
- Harrisburg, IL
- NPI 1770103426
-
- Hospitalist Physician
- Carbondale, IL
- NPI 1669926424
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- Family Medicine Physician
- Morrison, IL
- NPI 1700907250
-
- Internal Medicine Physician
- Benton, IL
- NPI 1255369427
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
- Primary Care Clinic/Center
- Benton, IL
- NPI 1811385347
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1730207994
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
-
- Critical Access Hospital
- Benton, IL
- NPI 1699778951
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1073580130
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.