Individual provider Active NPI

Richard Jude Riese, MD

  • Pulmonary Disease Physician
  • Brookline, MA
National Provider Identifier
1801037221
Registry record updated Mar 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
80376 Issued in MA
Practice address
22 Chestnut PL
Apartment 614
Brookline, MA 02445-7565
Phone
(617) 566-5516
NPI assigned
Mar 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80376 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 80376 MA
Pulmonary Disease Physician 207RP1001X 80376 MA Primary

Addresses

Primary practice location

22 Chestnut PL
Apartment 614
Brookline, MA 02445-7565

Mailing address

22 Chestnut PL
Apartment 614
Brookline, MA 02445-7565
Phone (617) 566-5516

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80376MAMDPulmonary Disease Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1801037221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHESTNUT PL",
            "address_2": "APARTMENT 614",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457565",
            "telephone_number": "617-566-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHESTNUT PL",
            "address_2": "APARTMENT 614",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457565",
            "telephone_number": "617-566-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESE",
        "first_name": "RICHARD",
        "middle_name": "JUDE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80376",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "80376",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "80376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.