Active NPI
Daniel Francis Reilly Jr., PA-C
- Surgical Physician Assistant
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA4228
- Practice address
- 2 Medical Center Dr Ste 308
Springfield, MA 01107-1271 - Phone
- (413) 794-7020
- NPI assigned
- Aug 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA4228 | MA | Primary |
Addresses
Primary practice location
2 Medical Center Dr Ste 308
Springfield, MA 01107-1271
Mailing address
280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 Boulevard
West Hartford, CT 06119-1801
Phone (860) 986-6440
1171 E Main St
Torrington, CT 06790-3963
Phone (860) 866-4321
135 E Main St
New Britain, CT 06051-1914
Phone (860) 357-6899
179 Talcottville Rd
Vernon, CT 06066-4615
Phone (860) 986-7600
18 Union St
West Springfield, MA 01089-3317
Phone (413) 781-0100
2 Main St
Danbury, CT 06810-8047
Phone (203) 826-2140
365 Queen St
Southington, CT 06489-1884
Phone (860) 863-5835
370 Providence Hwy
Dedham, MA 02026-1875
Phone (781) 461-0200
396 Cromwell Ave
Rocky Hill, CT 06067-1828
Phone (860) 372-4990
415 Cooley St
Unit 3
Springfield, MA 01128-1149
Phone (413) 782-4878
926 W Boylston St
Worcester, MA 01606-1141
Phone (774) 243-2805
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.63 of 100
- Quality
- 62.23
- Improvement activities
- 40
- Cost
- 81.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA4228 | MA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Ctuc01 | Current | Accepting new patients | |
| Afc Physicians of Massachusetts, PC | Current | Accepting new patients | |
| Afc Physicians of Massachusetts | Current | Accepting new patients | |
| Afc Physicians of Massachusetts, PC | Current | Accepting new patients | |
| WRK Ventures, LLC | Past | Accepting new patients |
Locations
2 Main St
Danbury, CT 06810
Phone (203) 826-2140
415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Springfield, MA
- NPI 1902123276
-
- Urgent Care Clinic/Center
- Danbury, CT
- NPI 1003152984
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1821711268
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1740672989
-
- Urgent Care Clinic/Center
- Rocky Hill, CT
- NPI 1285387530
-
- Urgent Care Clinic/Center
- Vernon, CT
- NPI 1922539592
-
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1750660148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST FL 2",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER DR STE 308",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071271",
"telephone_number": "413-794-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "DANIEL",
"middle_name": "FRANCIS",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-16",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "PA4228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.