Individual provider Active NPI

Charles Alexander Riley, M.D.

  • Otolaryngology Physician
  • Fort Belvoir, VA
National Provider Identifier
1821357419
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
288151-1 Issued in NY
Practice address
9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Phone
(571) 231-3224
NPI assigned
May 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 288151 NY
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 288151-1 NY Primary

Addresses

Primary practice location

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285

Mailing address

8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (301) 295-4664

Other practice location 1

1430 Tulane Ave # Sl-59
New Orleans, LA 70112-2632
Phone (504) 988-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170905001576 NY Practitioner - Otolaryngology 4880993021 Reassigns benefits to 1 organization
I20240815002136 ME Practitioner - Otolaryngology 4880993021 Reassigns benefits to 1 organization
I20250217002773 MA Practitioner - Otolaryngology 4880993021 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Affiliates of Cape Cod IncGroup PAC ID 3577471564, 237 clinicians
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

510 N Street
10 Berkshire Ear Nose and Throat
Pittsfield, MA 01201
Phone (413) 448-8291

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288151-1NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Aug 18, 2024 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Mar 28, 2025 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Aug 18, 2024 Accepting new patients
Fairview Hospital CurrentSince Mar 28, 2025 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Dec 8, 2025 Accepting new patients
Weill Medical College of Cornell Otolaryngology CurrentSince Jul 22, 2017 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Dec 8, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 22, 2017 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

510 North St
Ste 10
Pittsfield, MA 01201
Phone (413) 448-8291

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

489 State St
Bangor, ME 04401
Phone (207) 973-8837

885 Union St
Ste 130
Bangor, ME 04401
Phone (207) 942-1291

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

1305 York Ave
#5
New York, NY 10021
Phone (212) 746-2281

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1821357419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-295-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Tulane Ave # Sl-59",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122632",
            "country_code": "US",
            "telephone_number": "504-988-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CHARLES",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "288151",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "288151-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

Verify at the official NPI Registry.