Individual provider Active NPI

Michael J Reilly, M.D.

  • Surgery Physician
  • Carlisle, PA
National Provider Identifier
1740378769
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD035464E Issued in PA
Practice address
11 Sprint Dr Ste C
Carlisle, PA 17015-7789
Phone
(717) 545-5000
Fax
(717) 545-5002
NPI assigned
Oct 11, 2006
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD035464E PA Primary

Addresses

Primary practice location

11 Sprint Dr Ste C
Carlisle, PA 17015-7789

Mailing address

11 Sprint Dr Ste C
Carlisle, PA 17015-7789

Other practice location 1

196 W Main St
Uniontown, PA 15401-5537
Phone (724) 439-1020

Other practice location 2

830 Norland Ave
Chambersburg, PA 17201-4217
Phone (717) 960-3360

Other identifiers 2

IdentifierTypeStateIssuer
0010498480001MedicaidPA
68558OtherPAHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mreilly113145@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101104000185 PA Practitioner - General Surgery 3072554849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Surgery CurrentSince Sep 3, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 3, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 3, 2019 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 3, 2019 Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

11 Sprint Dr
Ste C
Carlisle, PA 17015
Phone (717) 245-9264

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

830 Norland Ave
Chambersburg, PA 17201
Phone (717) 217-6881

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Harrisburg, PA 17104
Phone (717) 230-3459

2170 Noll Dr
Ste 200
Lancaster, PA 17603
Phone (717) 393-3588

Organizations & group practices 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1740378769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SPRINT DR STE C",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SPRINT DR STE C",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157789",
            "telephone_number": "717-545-5000",
            "fax_number": "717-545-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 W Main St",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154015537",
            "country_code": "US",
            "telephone_number": "724-439-1020",
            "fax_number": "724-434-5485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014217",
            "country_code": "US",
            "telephone_number": "717-960-3360",
            "fax_number": "717-706-6709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-05-19",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD035464E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010498480001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "68558",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mreilly113145@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "11 Sprint Dr Ste C",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170157789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.