NPIMap

Individual provider Active NPI

Paul A Reilly, MD

  • Internal Medicine Physician
  • New Kensington, PA
National Provider Identifier
1811962319
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD030294E Issued in PA
Practice address
315 7TH St
New Kensington, PA 15068-6529
Phone
(724) 337-6232
Fax
(724) 337-6721
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD030294E PA Primary

Addresses

Primary practice location

315 7TH St
New Kensington, PA 15068-6529

Mailing address

315 7TH St
New Kensington, PA 15068-6529
Phone (724) 337-6232

Other identifiers 1

IdentifierTypeStateIssuer
001190044MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address preilly11323@direct.ahn.org

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Past Accepting new patients
Upmc Community Medcine Inc Past Accepting new patients
Upmc St. Margaret Past Accepting new patients
University of Pittsburgh Physicians Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1811962319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 7TH ST",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686529",
            "telephone_number": "724-337-6232",
            "fax_number": "724-337-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 7TH ST",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686529",
            "telephone_number": "724-337-6232",
            "fax_number": "724-337-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD030294E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001190044",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "preilly11323@direct.ahn.org",
            "affiliation": "N",
            "address_1": "315 7th St",
            "city": "New Kensington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150686529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.