Active NPI
David John O'Reilly, M.D.
- Cardiovascular Disease Physician
- Berea, KY
National Provider Identifier
1801814561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 29105
- Practice address
- 305 Estill St
3Rd FL
Berea, KY 40403-1742 - Phone
- (859) 986-6775
- Fax
- (859) 986-6512
- NPI assigned
- Jul 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 29105 | KY | Primary |
Addresses
Primary practice location
305 Estill St
3Rd FL
Berea, KY 40403-1742
Mailing address
100 East Liberty Street. Suite 800
Louisville, KY 40202-1434
Phone (859) 986-6675
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000501 | Other | KY | MEDICARE LAB GROUP |
| CB5773 | Other | RR MEDICARE GROUP | |
| 060063337 | Other | RR MEDICARE PIN | |
| 37903705 | Other | KY | MEDICAID LAB GROUP |
| 64291057 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1801814561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST LIBERTY STREET. SUITE 800",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021434",
"telephone_number": "859-986-6675",
"fax_number": "859-276-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ESTILL ST",
"address_2": "3RD FL",
"city": "BEREA",
"state": "KY",
"postal_code": "404031742",
"telephone_number": "859-986-6775",
"fax_number": "859-986-6512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'REILLY",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "29105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LAB GROUP",
"identifier": "4000501",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CB5773",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "060063337",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LAB GROUP",
"identifier": "37903705",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64291057",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.